Evid Based Nurs 1:26 doi:10.1136/ebn.1.1.26
  • Economics

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 …

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