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Economics
An acute care unit for elderly medical patients did not increase hospital costs

https://doi.org/10.1136/ebn.1.1.26

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    Covinsky Ke, King Jr Jt, Quinn Lm , Et AL. Do acute care for elders units increase hospital costs? A cost analysis using the hospital perspective. J Am Geriatr Soc 1997 Jun; 45 : 729 –34. OpenUrlPubMedWeb of Science

    Objective

    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.

    Design

    Formal cost analysis of hospital costs taken from data in a randomised controlled trial.

    Setting

    The general medical service of a university hospital in the USA.

    Patients

    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.

    Intervention

    All patients …

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    Footnotes

    • Sources of funding: National Institute on Aging and the John A Hartford Foundation.

    • For article reprint: Dr K E Covinsky, Division of General Internal Medicine and Health Care Research, University Hospitals of Cleveland, 11100 Euclid Avenue, Cleveland, OH 44106 USA. Fax +1 216 368 0737.