Re-evaluating the National Subarachnoid Haemorrhage study (2006) from a Patient-Related-Outcome-Measure perspective: Comparing fiscal outcomes of Treatment-as-Usual with an enhanced service

This source preferred by Colin Pritchard

Authors: Pritchard, C., Lindsay, K., Cox, M. and Foulkes, L.M.

Journal: British Journal of Neurosurgery

Volume: 25

Pages: 376-383

ISSN: 0268-8697

DOI: 10.3109/02688697.2011.566379

This data was imported from PubMed:

Authors: Pritchard, C., Lindsay, K., Cox, M. and Foulkes, L.

Journal: Br J Neurosurg

Volume: 25

Issue: 3

Pages: 376-383

eISSN: 1360-046X

DOI: 10.3109/02688697.2011.566379

BACKGROUND: Subarachnoid haemorrhage (SAH) is neurological catastrophe, creating major disruption for patient and family, hence the importance of considering Patient-Related-Outcome-Measures (PROM). This study uses the National Study of SAH (2006) to explore any fiscal benefits to patients and NHS if they had an enhanced Neuro-Vascular-Specialist-Nurse (NVSN) service compared to Treatment-as-Usual (TAU). METHOD: Ensuring total confidentiality, clinical data from the National Study (n=2397) were matched with regional clinical data of a TAU (n=137) and prospective NVSN service (n=184) patients. The TAU and NVSN fiscal outcomes were projected onto the National Study patients to provide estimates of the potential benefits that could accrue nationally from a NVSN service based upon length of stay and earlier return to work of patients and carers. RESULTS: There were substantial benefits for NVSN cohort related to shorter time in hospital, reduced family disruption, earlier return to work and fiscal benefits to family and the NHS. NVSN patients and carers potential savings were estimated at £ 8.097 million and £ 2.492 million to the service, £ 10.497 million overall. PRACTICE IMPLICATIONS: This PROM approach allows the 'patient's voice' to be heard, which facilitates speedier patient and family recovery, showing that an integrated treatment approach in 'high tech' neuro-surgery is cost-effective.

This data was imported from Scopus:

Authors: Pritchard, C., Lindsay, K., Cox, M. and Foulkes, L.

Journal: British Journal of Neurosurgery

Volume: 25

Issue: 3

Pages: 376-383

eISSN: 1360-046X

ISSN: 0268-8697

DOI: 10.3109/02688697.2011.566379

Background. Subarachnoid haemorrhage (SAH) is neurological catastrophe, creating major disruption for patient and family, hence the importance of considering Patient-Related-Outcome-Measures (PROM). This study uses the National Study of SAH (2006) to explore any fiscal benefits to patients and NHS if they had an enhanced Neuro-Vascular-Specialist-Nurse (NVSN) service compared to Treatment-as-Usual (TAU). Method. Ensuring total confidentiality, clinical data from the National Study (n = 2397) were matched with regional clinical data of a TAU (n = 137) and prospective NVSN service (n = 184) patients. The TAU and NVSN fiscal outcomes were projected onto the National Study patients to provide estimates of the potential benefits that could accrue nationally from a NVSN service based upon length of stay and earlier return to work of patients and carers. Results. There were substantial benefits for NVSN cohort related to shorter time in hospital, reduced family disruption, earlier return to work and fiscal benefits to family and the NHS. NVSN patients and carers potential savings were estimated at £ 8.097 million and £ 2.492 million to the service, £ 10.497 million overall. Practice implications. This PROM approach allows the 'patient's voice' to be heard, which facilitates speedier patient and family recovery, showing that an integrated treatment approach in 'high tech' neuro-surgery is cost-effective. © 2011 The Neurosurgical Foundation.

This data was imported from Web of Science (Lite):

Authors: Pritchard, C., Lindsay, K., Cox, M. and Foulkes, L.

Journal: BRITISH JOURNAL OF NEUROSURGERY

Volume: 25

Issue: 3

Pages: 376-383

ISSN: 0268-8697

DOI: 10.3109/02688697.2011.566379

This data was imported from Europe PubMed Central:

Authors: Pritchard, C., Lindsay, K., Cox, M. and Foulkes, L.

Journal: British journal of neurosurgery

Volume: 25

Issue: 3

Pages: 376-383

eISSN: 1360-046X

ISSN: 0268-8697

BACKGROUND: Subarachnoid haemorrhage (SAH) is neurological catastrophe, creating major disruption for patient and family, hence the importance of considering Patient-Related-Outcome-Measures (PROM). This study uses the National Study of SAH (2006) to explore any fiscal benefits to patients and NHS if they had an enhanced Neuro-Vascular-Specialist-Nurse (NVSN) service compared to Treatment-as-Usual (TAU). METHOD: Ensuring total confidentiality, clinical data from the National Study (n=2397) were matched with regional clinical data of a TAU (n=137) and prospective NVSN service (n=184) patients. The TAU and NVSN fiscal outcomes were projected onto the National Study patients to provide estimates of the potential benefits that could accrue nationally from a NVSN service based upon length of stay and earlier return to work of patients and carers. RESULTS: There were substantial benefits for NVSN cohort related to shorter time in hospital, reduced family disruption, earlier return to work and fiscal benefits to family and the NHS. NVSN patients and carers potential savings were estimated at £ 8.097 million and £ 2.492 million to the service, £ 10.497 million overall. PRACTICE IMPLICATIONS: This PROM approach allows the 'patient's voice' to be heard, which facilitates speedier patient and family recovery, showing that an integrated treatment approach in 'high tech' neuro-surgery is cost-effective.

The data on this page was last updated at 04:52 on April 23, 2019.