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Randomized Controlled Trial
. 2009 Jun 11:9:98.
doi: 10.1186/1472-6963-9-98.

A cost-utility analysis of nursing intervention via telephone follow-up for injured road users

Carin Franzén  1 , Ulf Björnstig, Christine Brulin, Lars Lindholm
Affiliations
Randomized Controlled Trial

A cost-utility analysis of nursing intervention via telephone follow-up for injured road users

Carin Franzén et al. BMC Health Serv Res. .

Abstract

Background: Traffic injuries can cause physical, psychological, and economical impairment, and affected individuals may also experience shortcomings in their post-accident care and treatment. In an earlier randomised controlled study of nursing intervention via telephone follow-up, self-ratings of health-related quality of life were generally higher in the intervention group than in the control group.

Objective: To evaluate the cost-effectiveness of nursing intervention via telephone follow-up by examining costs and quality-adjusted life years (QALYs).

Methods: A randomised controlled study was conducted between April 2003 and April 2005. Car occupants, cyclists, and pedestrians aged between 18 and 70 years and attending the Emergency Department of Umeå University Hospital in Sweden after an injury event in the traffic environment were randomly assigned to an intervention (n = 288) or control group (n = 280). The intervention group received routine care supplemented by nursing via telephone follow-up during half a year, while the control group received routine care only. Data were collected from a mail survey using the non-disease-specific health-related quality of life instrument EQ5D, and a cost-effectiveness analysis was performed including the costs of the intervention and the QALYs gained.

Results: Overall, the intervention group gained 2.60 QALYs (260 individuals with an average gain of 0.01 QALYs). The car occupants gained 1.54 QALYs (76 individuals, average of 0.02). Thus, the cost per QALY gained was 16 000 Swedish Crown (SEK) overall and 8 500 SEK for car occupants.

Conclusion: Nursing intervention by telephone follow-up after an injury event, is a cost effective method giving improved QALY to a very low cost, especially for those with minor injuries.

Trial registration: This trial registration number is: ISRCTN11746866.

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Figures

Figure 1
Figure 1
Selection and data collection procedure for the intervention and control groups. *I = Intervention group. *C = Control group.
See this image and copyright information in PMC

References

    1. Peden M, Scurfield R, Sleet D, Mohan D, Hyder A, Jarawan E, Mathers C. The world report on road traffic injury prevention. WHO, Genewa; 2004.
    1. Björnstig J, Bylund P-O, Björnstig U. Akut och katastrofmedicinskt centrum, Norrlands Universitetssjukhus, Umeå (in Swedish) Accidents related to vechile, treated in Umeå University Hospital 2005 Report 134. Emergency and Disaster Medical Center Umeå, Sweden; 2006. Fordonsrelaterade skadefall som behandlats vid Norrlands Universitetssjukhus under 2005. Rapport 134.
    1. Jacobs G, Aeron-Thomas A, Astrop A. Estimating global road traffic fatalities. TRL Report No 445 Crowthorne, Transport Research Laboratory. 2000.
    1. Berntman M, Maraste P, Löfvendahl S, Persson U, Svensson M. Institutionen för Teknik och samhälle, Avdelning Trafikteknik (in Swedish) Estimation of costs for non fatally traffic injuries Workreport 4 Injured registred at the Lund Hospital, Sweden. Department of Technology and Society. Lund Institute of Technology, Traffic Engineering, Lund, Sweden; 1999. Värdering av icke-dödliga skador till följd av trafikolyckor. Arbetsrapport 4: Skadade registrerade på Lunds sjukhus. Lunds Tekniska Högskola.
    1. Maraste P, Persson U, Berntman M. Long-term follow-up and consequences for severe road traffic injuries-treatment costs and health impairment in Sweden in the 1960s and the 1990s. Health Policy. 2003;66:147–158. doi: 10.1016/S0168-8510(03)00021-6. - DOI - PubMed

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