Cameron I D, Lyle D M, Quine S
Rehabilitation and Aged Care Service, Hornsby Ku-ring-gai Hospital, N.S.W., Australia.
J Clin Epidemiol. 1994 Nov;47(11):1307-13. doi: 10.1016/0895-4356(94)90136-8.
A randomised controlled trial comparing an accelerated rehabilitation program after proximal femoral fracture with conventional care and rehabilitation was conducted with 252 elderly patients treated at an Australian general hospital in 1989/1990. This paper presents a cost-effectiveness analysis of the accelerated rehabilitation program. The measure of cost was all direct costs of treatment and subsequent care (medical and non-medical) incurred during the 4 months after fracture. Effectiveness was defined as whether the patient returned to semi-independent living; or if moderately or severely disabled prior to the fracture to the premorbid level of physical independence. The cost for treatment up to 4 months after fracture was estimated at A$ 10,600 per accelerated rehabilitation patient and A$ 12,800 per conventional care patient (1990 Australian dollars, A$). Thus, accelerated rehabilitation releases resources equivalent to approximately 17% of costs for treatment per patient. When cost effectiveness is considered, the potential cost savings rise to 38% per recovered patient.
1989年/1990年，在澳大利亚一家综合医院对252名老年患者进行了一项随机对照试验，比较股骨近端骨折后加速康复计划与传统护理和康复的效果。本文对加速康复计划进行了成本效益分析。成本衡量指标为骨折后4个月内产生的所有治疗及后续护理（医疗和非医疗）直接成本。有效性定义为患者是否恢复到半独立生活状态；或者如果骨折前为中度或重度残疾，是否恢复到病前的身体独立水平。骨折后4个月内的治疗成本估计为每名加速康复患者10,600澳元，每名传统护理患者12,800澳元（1990年澳元，A$）。因此，加速康复可释放相当于每名患者治疗成本约17%的资源。从成本效益角度考虑，每名康复患者的潜在成本节省升至38%。
