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  1. Do elederly patients overutilize healthcare resources and benefit less from them than younger patients ? a study of patients who underwent craniotomy for treatment of neoplasm.

    Article - En anglais

    Objective 

    Some physicians and academicians have suggested that limiting selected healthcare resources to the elderly will help curtail the rising cost of health care in the United States.

    In order to test this hypothesis in a specibc medical context, we compared the cost of caring for younger (<65 yrs) patients with that of caring for older (=65 yrs) patients who underwent craniotomy for treatment of brain tumors.

    Design 

    Prospective collection and review of data on patients undergoing craniotomy for tumor in our institution between February 1989 and December 1991.

    Results 

    Of 3,265 ICU patients admitted during the study period, data on 123 (3.8%) undergoing craniotomy for brain tumor were analyzed.

    There were no differences between the patient groups in length of ICU stay or hospital stay, final outcome at discharge from the hospital, quality of life, or hospital or ICU costs, despite the fact that elderly patients had a greater number of procedures and complications per patient, and higher Acute Physiology and Chronic Health Evaluation II (APACHE II) severity of illness scores on admission and discharge than younger patients.

    Conclusions 

    The assertion that the elderly may, under certain conditions, consume more healthcare resources and benefit less from them than younger patients must be tested for accuracy with regard to specific disease states.

    In the context of the disorder studied herein, the elderly do as well as the young.

    Mots-clés Pascal : Tumeur, Encéphale, Crâniotomie, Postopératoire, Soin intensif, Etude comparative, Coût, Economie santé, Adulte, Homme, Vieillard, Etats Unis, Amérique du Nord, Amérique, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Chirurgie

    Mots-clés Pascal anglais : Tumor, Brain (vertebrata), Craniotomy, Postoperative, Intensive care, Comparative study, Costs, Health economy, Adult, Human, Elderly, United States, North America, America, Nervous system diseases, Central nervous system disease, Cerebral disorder, Surgery

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0337856

    Code Inist : 002B27B08. Création : 01/03/1996.