Cost-effectiveness of a specialist geriatric medical intervention for frail older people discharged from acute medical units: economic evaluation in a two-centre randomised controlled trial (AMIGOS)

Background: Poor outcomes and high resource-use are observed for frail older people discharged from acute medical units. A specialist geriatric medical intervention, to facilitate Comprehensive Geriatric Assessment, was developed to reduce the incidence of adverse outcomes and associated high resource-use in this group in the post-discharge period. Objective: To examine the costs and cost-effectiveness of a specialist geriatric medical intervention for frail older people in the 90 days following discharge from an acute medical unit, compared with standard care. Methods: Economic evaluation was conducted alongside a two-centre randomised controlled trial (AMIGOS). 433 patients (aged 70 or over) at risk of future health problems, discharged from acute medical units within 72 hours of attending hospital, were recruited in two general hospitals in Nottingham and Leicester, UK. Participants were randomised to the intervention, comprising geriatrician assessment in acute units and further spe...

研究背景：从急性医疗病房出院的衰弱老年患者常出现转归不佳、医疗资源消耗过高的问题。本研究针对该人群开发了一项旨在推进综合老年评估（Comprehensive Geriatric Assessment）的专科老年医学干预方案，以降低其出院后不良转归的发生率及伴随的高额医疗资源消耗。
研究目标：对比标准照护方案，评估针对急性医疗病房出院后90天内的衰弱老年患者的专科老年医学干预方案的成本与成本效益。
研究方法：本研究依托一项双中心随机对照试验（AMIGOS）开展经济学评价。研究于英国诺丁汉与莱斯特的两所综合医院开展，共招募433名年龄≥70岁、存在远期健康风险且于就诊后72小时内从急性医疗病房出院的患者。受试者被随机分配至干预组，干预方案包含急性病房内的老年科医师评估及后续的further spe[原文内容未完整显示]。