Two-year prospective study of psychosocial outcomes and a cost-analysis of 'treatment-as-usual' versus an 'enhanced' (specialist liaison nurse) service for aneurysmal sub arachnoid haemorrhage (ASAH) patients and families
Authors: Pritchard, C., Foulkes, L., Lang, D.A. and Neil-Dwyer, G.
Journal: British Journal of Neurosurgery
Volume: 18
Issue: 4
Pages: 347-356
ISSN: 0268-8697
DOI: 10.1080/02688690400004993
Abstract:An 18-month retrospective study of 'treatment-as-usual' of aneurysmal subarachnoid haemorrhage (ASAH, n=142) used as control to compare prospective study (n=184) of an 'enhanced' ('Specialist Liaison Nurse'-SLN) service to reduce psychosocial trauma. Consultant notes, Glasgow Coma Scores and 'High Risk' bleeds scores provided clinical data. A standardized patient/carer designed questionnaire provided psychosocial data, plus a cost-analysis. The cohorts were good clinical and social matches. Sixty-five per cent of patients had 'high risk' bleeds, and 81% were Grade 1 and 2 on the GCS, 54% aged less than 55 years, 83% belonged to social classes 1-3 and 32% had school-aged children. Satisfaction with SLN inpatient and discharge care increased significantly, with reduced psychosocial trauma. The SLN produced net 'savings' of £155,000 p.a., from reduced time-off work, medical time and re-admissions. Prospectively, £1.6+ million annual 'savings' were identified on 80% of employed patients returning to work. Long-term dysfunctional stress is not inevitable for most ASAH patients as a SLN is clinically and fiscally cost-effective.
Source: Scopus
Two-year prospective study of psychosocial outcomes and a cost-analysis of 'treatment-as-usual' versus an 'enhanced' (specialist liaison nurse) service for aneurysmal sub arachnoid haemorrhage (ASAH) patients and families.
Authors: Pritchard, C., Foulkes, L., Lang, D.A. and Neil-Dwyer, G.
Journal: Br J Neurosurg
Volume: 18
Issue: 4
Pages: 347-356
ISSN: 0268-8697
DOI: 10.1080/02688690400004993
Abstract:An 18-month retrospective study of 'treatment-as-usual' of aneurysmal subarachnoid haemorrhage (ASAH, n = 142) used as control to compare prospective study (n = 184) of an 'enhanced' ('Specialist Liaison Nurse'-SLN) service to reduce psychosocial trauma. Consultant notes, Glasgow Coma Scores and 'High Risk' bleeds scores provided clinical data. A standardized patient/carer designed questionnaire provided psychosocial data, plus a cost-analysis. The cohorts were good clinical and social matches. Sixty-five per cent of patients had 'high risk' bleeds, and 81% were Grade 1 and 2 on the GCS, 54% aged less than 55 years, 83% belonged to social classes 1-3 and 32% had school-aged children. Satisfaction with SLN inpatient and discharge care increased significantly, with reduced psychosocial trauma. The SLN produced net 'savings' of pounds sterling 155,000 p.a., from reduced time-off work, medical time and re-admissions. Prospectively, pounds sterling 1.6 + million annual 'savings' were identified on 80% of employed patients returning to work. Long-term dysfunctional stress is not inevitable for most ASAH patients as a SLN is clinically and fiscally cost-effective.
Source: PubMed
Two-year prospective study of psychosocial outcomes and a cost-analysis of 'treatment-as-usual' versus an 'enhanced' (specialist liaison nurse) service for aneurysmal sub arachnoid haemorrhage (ASAH) patients and families
Authors: Pritchard, C., Foulkes, L., Lang, D.A. and Neil-Dwyer, G.
Journal: BRITISH JOURNAL OF NEUROSURGERY
Volume: 18
Issue: 4
Pages: 347-356
eISSN: 1360-046X
ISSN: 0268-8697
DOI: 10.1080/02688690400004993
Source: Web of Science (Lite)
Two-year prospective study of psychosocial outcomes and a cost-analysis of ‘treatment-as-usual’ versus an ‘enhanced’ (specialist liaison nurse) service for aneurismal sub arachnoid haemorrhage (ASAH) patients and families
Authors: Pritchard, C., Foulkes, L.M., Lang, D.A. and Neil-Dwyer, G.
Journal: British Journal of Neurosurgery
Volume: 18
Pages: 347-356
ISSN: 0268-8697
DOI: 10.1080/0268869040004993
Abstract:An 18-month retrospective study of 'treatment-as-usual' of aneurysmal subarachnoid haemorrhage (ASAH, n = 142) used as control to compare prospective study ( n = 184) of an 'enhanced' ('Specialist Liaison Nurse'--SLN) service to reduce psychosocial trauma. Consultant notes, Glasgow Coma Scores and 'High Risk' bleeds scores provided clinical data. A standardized patient/carer designed questionnaire provided psychosocial data, plus a cost-analysis. The cohorts were good clinical and social matches. Sixty-five per cent of patients had 'high risk' bleeds, and 81% were Grade 1 and 2 on the GCS, 54% aged less than 55 years, 83% belonged to social classes 1 - 3 and 32% had school-aged children. Satisfaction with SLN inpatient and discharge care increased significantly, with reduced psychosocial trauma. The SLN produced net 'savings' of £155,000 p.a., from reduced time-off work, medical time and re-admissions. Prospectively, £1.6 + million annual 'savings' were identified on 80% of employed patients returning to work. Long-term dysfunctional stress is not inevitable for most ASAH patients as a SLN is clinically and fiscally cost-effective. [ABSTRACT FROM AUTHOR]
http://search.ebscohost.com/login.aspx?direct=true&db=aph&AN=15269167&site=ehost-live
Source: Manual
Two-year prospective study of psychosocial outcomes and a cost-analysis of 'treatment-as-usual' versus an 'enhanced' (specialist liaison nurse) service for aneurysmal sub arachnoid haemorrhage (ASAH) patients and families.
Authors: Pritchard, C., Foulkes, L., Lang, D.A. and Neil-Dwyer, G.
Journal: British journal of neurosurgery
Volume: 18
Issue: 4
Pages: 347-356
eISSN: 1360-046X
ISSN: 0268-8697
DOI: 10.1080/02688690400004993
Abstract:An 18-month retrospective study of 'treatment-as-usual' of aneurysmal subarachnoid haemorrhage (ASAH, n = 142) used as control to compare prospective study (n = 184) of an 'enhanced' ('Specialist Liaison Nurse'-SLN) service to reduce psychosocial trauma. Consultant notes, Glasgow Coma Scores and 'High Risk' bleeds scores provided clinical data. A standardized patient/carer designed questionnaire provided psychosocial data, plus a cost-analysis. The cohorts were good clinical and social matches. Sixty-five per cent of patients had 'high risk' bleeds, and 81% were Grade 1 and 2 on the GCS, 54% aged less than 55 years, 83% belonged to social classes 1-3 and 32% had school-aged children. Satisfaction with SLN inpatient and discharge care increased significantly, with reduced psychosocial trauma. The SLN produced net 'savings' of pounds sterling 155,000 p.a., from reduced time-off work, medical time and re-admissions. Prospectively, pounds sterling 1.6 + million annual 'savings' were identified on 80% of employed patients returning to work. Long-term dysfunctional stress is not inevitable for most ASAH patients as a SLN is clinically and fiscally cost-effective.
Source: Europe PubMed Central