Economic Consequences of an Implanted Neuroprosthesis in Subjects with Spinal Cord Injury for Restoration of an Effective Cough.
Objective: To determine if an implanted neuroprosthesis for restoration of an effective cough is less costly than conventional methods of respiratory management. Methods: Nonrandomized clinical trial of participants ( N = 14) with spinal cord injury (SCI) using the Cough Stimulator device in the inp...
| Publicado en: | Topics in Spinal Cord Injury Rehabilitation Vol. 23; no. 3; pp. 271 - 279 |
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| Autores principales: | , , , , |
| Formato: | clinical trial research tables/charts Journal Article |
| Publicado: |
KnowledgeWorks Global, Ltd
Summer2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124654492&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 124654492 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10820744 0OF jtl: Topics in Spinal Cord Injury Rehabilitation issn: 10820744 maglogo: N pubinfo: dt: Summer2017 vid: 23 iid: 3 pid: 81084 pub: KnowledgeWorks Global, Ltd place: Richmond, Virginia artinfo: ui: 124654492 124654492 124654492 10.1310/sci2303-271 124654492 ppf: 271 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Economic Consequences of an Implanted Neuroprosthesis in Subjects with Spinal Cord Injury for Restoration of an Effective Cough. aug: au: DiMarco, Anthony F. Geertman, Robert T. Tabbaa, Kutaiba Polito, Rebecca R. Kowalski, Krzysztof E. affil: Department of Physical Medicine and Rehabilitation, Case Western Reserve University sug: subj: Myoelectric Prosthesis Economics Spinal Cord Injuries Complications Cough Electric Stimulation Equipment and Supplies Respiratory Tract Diseases Prevention and Control Respiratory Tract Diseases Epidemiology United States Hospitals After Care Inpatients Outpatients Human Female Male Child Adolescence Adult Middle Age Pretest-Posttest Design T-Tests Post Hoc Analysis P-Value Clinical Trials Descriptive Statistics Data Analysis Software Funding Source Child: 6-12 years Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Objective: To determine if an implanted neuroprosthesis for restoration of an effective cough is less costly than conventional methods of respiratory management. Methods: Nonrandomized clinical trial of participants ( N = 14) with spinal cord injury (SCI) using the Cough Stimulator device in the inpatient hospital setting for Cough Stimulator implantation and outpatient hospital or residence for follow-up. A neuroprosthesis was implanted for restoration of an effective cough. The annual costs associated with respiratory management, without (pre implantation) and with (post implantation) the neuroprosthesis, were examined over a 4-year period. Results: The total cost related to implantation of the Cough Stimulator was $59,891, with no maintenance costs over subsequent years. The incidence of respiratory tract infections and the need for caregiver support fell significantly following implantation. The costs associated with respiratory tract infections fell significantly from a mean of $36,406 ± 11,855/year to $13,284 ± 7,035/year ( p < .05) pre and post implantation, respectively. Costs fell further to $8,817 ± 5,990 and $4,467 ± 4,404 following the 2nd and 3rd years post implantation ( p < .05), respectively. The costs associated with caregiver support fell significantly from $25,312 ± 8,019/year to $2,630 ± 2,233/year ( p < .05) pre and post implantation, respectively, and remained low in subsequent years ( p < .05). Other costs related to secretion management fell significantly and remained low in subsequent years ( p < .05). Break-even analysis demonstrated that this point was reached in the first year. Conclusion: The results of this investigation demonstrate that implantation and use of the Cough Stimulator resulted in significant reductions in the overall costs of respiratory management in this patient population. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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