An acute care unit for elderly medical patients did not increase hospital costs
To determine the hospital costs of caring for medical patients in a special unit for older people designed to maintain or achieve independence in self care activities compared with usual ward care.
Formal cost analysis of hospital costs taken from data in a randomised controlled trial.
The general medical service of a university hospital in the USA.
650 patients in hospital who were aged ≥ 70 years (mean age 80 y, 67% women, 41% non-white, 40% independent in activities of daily living [ADL] at admission). Patients admitted to the intensive care unit or subspecialty medical wards were excluded.
All patients were assigned a primary nurse, house staff, and an attending physician. 326 patients were admitted to the acute care for elders unit and 324 to usual ward care. The …