The cost-effectiveness of patient-controlled analgesia vs. standard care in patients presenting to the emergency department in pain, who are subsequently admitted to hospital.
dc.contributor.author | Pritchard, C | |
dc.contributor.author | Zhu, Chengyong | |
dc.contributor.author | Creanor, Siobhan | |
dc.contributor.author | Squire, R | |
dc.contributor.author | barton, andy | |
dc.contributor.author | Benger, J | |
dc.contributor.author | Cocking, Laura | |
dc.contributor.author | Ewings, P | |
dc.contributor.author | Rockett, M | |
dc.contributor.author | PASTIES writing group, | |
dc.date.accessioned | 2017-06-07T09:20:31Z | |
dc.date.available | 2017-06-07T09:20:31Z | |
dc.date.issued | 2017-05-26 | |
dc.identifier.issn | 0003-2409 | |
dc.identifier.issn | 1365-2044 | |
dc.identifier.uri | http://hdl.handle.net/10026.1/9435 | |
dc.description.abstract |
The clinical effectiveness of patient-controlled analgesia has been demonstrated in a variety of settings. However, patient-controlled analgesia is rarely utilised in the emergency department. The aim of this study was to compare the cost-effectiveness of patient-controlled analgesia vs. standard care in participants admitted to hospital from the emergency department with pain due to traumatic injury or non-traumatic abdominal pain. Pain scores were measured hourly for 12 h using a visual analogue scale. Cost-effectiveness was measured as the additional cost per hour in moderate to severe pain avoided by using patient-controlled analgesia rather than standard care (the incremental cost-effectiveness ratio). Sampling variation was estimated using bootstrap methods and the effects of parameter uncertainty explored in a sensitivity analysis. The cost per hour in moderate or severe pain averted was estimated as £24.77 (€29.05, US$30.80) (bootstrap estimated 95%CI £8.72 to £89.17) for participants suffering pain from traumatic injuries and £15.17 (€17.79, US$18.86) (bootstrap estimate 95%CI £9.03 to £46.00) for participants with non-traumatic abdominal pain. Overall costs were higher with patient-controlled analgesia than standard care in both groups: pain from traumatic injuries incurred an additional £18.58 (€21.79 US$23.10) (95%CI £15.81 to £21.35) per 12 h; and non-traumatic abdominal pain an additional £20.18 (€23.67 US$25.09) (95%CI £19.45 to £20.84) per 12 h. | |
dc.format.extent | 953-960 | |
dc.format.medium | Print-Electronic | |
dc.language | en | |
dc.language.iso | en | |
dc.publisher | Wiley | |
dc.subject | PCA clinical advantages | |
dc.subject | emergency department | |
dc.subject | health economics | |
dc.title | The cost-effectiveness of patient-controlled analgesia vs. standard care in patients presenting to the emergency department in pain, who are subsequently admitted to hospital. | |
dc.type | journal-article | |
dc.type | Comparative Study | |
dc.type | Journal Article | |
plymouth.author-url | https://www.ncbi.nlm.nih.gov/pubmed/28547753 | |
plymouth.issue | 8 | |
plymouth.volume | 72 | |
plymouth.publication-status | Published online | |
plymouth.journal | Anaesthesia | |
dc.identifier.doi | 10.1111/anae.13932 | |
plymouth.organisational-group | /Plymouth | |
plymouth.organisational-group | /Plymouth/Faculty of Health | |
plymouth.organisational-group | /Plymouth/Faculty of Health/Peninsula Medical School | |
plymouth.organisational-group | /Plymouth/Faculty of Health/Peninsula Medical School/PMS - Manual | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy | |
plymouth.organisational-group | /Plymouth/Research Groups | |
plymouth.organisational-group | /Plymouth/Research Groups/Institute of Health and Community | |
plymouth.organisational-group | /Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED) | |
plymouth.organisational-group | /Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)/CBBB | |
plymouth.organisational-group | /Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)/CCT&PS | |
plymouth.organisational-group | /Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR) | |
plymouth.organisational-group | /Plymouth/Users by role | |
plymouth.organisational-group | /Plymouth/Users by role/Academics | |
dc.publisher.place | England | |
dcterms.dateAccepted | 2017-04-11 | |
dc.rights.embargodate | 2018-5-26 | |
dc.identifier.eissn | 1365-2044 | |
dc.rights.embargoperiod | 12 months | |
rioxxterms.versionofrecord | 10.1111/anae.13932 | |
rioxxterms.licenseref.uri | http://www.rioxx.net/licenses/under-embargo-all-rights-reserved | |
rioxxterms.licenseref.startdate | 2017-05-26 | |
rioxxterms.type | Journal Article/Review |