Dedicated orthogeriatric service saves the HSE a million euro

Hdl Handle:
http://hdl.handle.net/10147/605477
Title:
Dedicated orthogeriatric service saves the HSE a million euro
Authors:
Shanahan, E; Henderson, C; Butler, A; Lenehan, B; Sheehy, T; Costelloe, A; Carew, S; Peters, C; O’Connor, M; Lyons, D; Ryan, J
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Mar-2016
URI:
http://hdl.handle.net/10147/605477
Abstract:
Hip fracture is common in older adults and is associated with high morbidity, mortality and significant health care costs. A pilot orthogeriatrics service was established in an acute hospital. We aimed to establish the cost effectiveness of this service. Length of hospital stay, discharge destination and rehabilitation requirements were analysed for a one year period and compared to patients who received usual care prior to the service. We calculated the costs incurred and savings produced by the orthogeriatric service. Median length of stay was reduced by 3 days (p=<0.001) saving €266,976. There was a 19% reduction in rehabilitation requirements saving €192,600. Median rehabilitation length of stay was reduced by 6.5 days saving €171,093. Reductions in long term care requirements led to savings of €10,934 per week. Costs to establish such a service amount to €171,564. The introduction of this service led to improved patient outcomes in a cost effective manner.
Item Type:
Article
Language:
en
Keywords:
ORTHOPAEDICS; OLDER PEOPLE; HOSPITALS

Full metadata record

DC FieldValue Language
dc.contributor.authorShanahan, Een
dc.contributor.authorHenderson, Cen
dc.contributor.authorButler, Aen
dc.contributor.authorLenehan, Ben
dc.contributor.authorSheehy, Ten
dc.contributor.authorCostelloe, Aen
dc.contributor.authorCarew, Sen
dc.contributor.authorPeters, Cen
dc.contributor.authorO’Connor, Men
dc.contributor.authorLyons, Den
dc.contributor.authorRyan, Jen
dc.date.accessioned2016-04-15T14:58:55Zen
dc.date.available2016-04-15T14:58:55Zen
dc.date.issued2016-03en
dc.identifier.urihttp://hdl.handle.net/10147/605477en
dc.description.abstractHip fracture is common in older adults and is associated with high morbidity, mortality and significant health care costs. A pilot orthogeriatrics service was established in an acute hospital. We aimed to establish the cost effectiveness of this service. Length of hospital stay, discharge destination and rehabilitation requirements were analysed for a one year period and compared to patients who received usual care prior to the service. We calculated the costs incurred and savings produced by the orthogeriatric service. Median length of stay was reduced by 3 days (p=<0.001) saving €266,976. There was a 19% reduction in rehabilitation requirements saving €192,600. Median rehabilitation length of stay was reduced by 6.5 days saving €171,093. Reductions in long term care requirements led to savings of €10,934 per week. Costs to establish such a service amount to €171,564. The introduction of this service led to improved patient outcomes in a cost effective manner.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectORTHOPAEDICSen
dc.subjectOLDER PEOPLEen
dc.subjectHOSPITALSen
dc.titleDedicated orthogeriatric service saves the HSE a million euroen
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen
dc.description.fundingNo fundingen
dc.description.provinceMunsteren
dc.description.peer-reviewpeer-reviewen
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.