The contribution of neuropsychiatric symptoms to the cost of dementia care
The contribution of neuropsychiatric symptoms to the cost of dementia care
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DOI：
10.1002/gps.1594
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发表时间：
2006-10-01
影响因子：
4
通讯作者：
Nguyen, Elizabeth
中科院分区：
文献类型：
--
作者：
Herrmann, Nathan;Lanctot, Krista L.;Nguyen, Elizabeth
目的评估痴呆患者的行为和心理症状（BPSD）对护理成本的贡献。方法对500名社区痴呆患者的照顾者进行为期一年的前瞻性研究，每月记录一次资源利用情况。结果护理总成本为每月1,298美元，成本与BPSD之间存在显著的独立关系。神经精神量表评分每增加1分，每月增加费用为30美元（95%CI：19~41美元）。针对BPSD的干预措施可能有助于减少这种疾病的惊人社会成本。版权所有（c）2006约翰威利父子有限公司。
Objective To estimate the contribution of behavioral and psychological symptoms of dementia (BPSD) to the costs of care.Method A one-year prospective study of resource utilization recorded monthly by 500 caregivers of community dwelling patients with dementia. The effect of behavior on total, direct and indirect costs of care was examined.Results The total cost of care was $1,298 per month and there was a significant independent relationship between costs and BPSD. The incremental cost of a one point increase in Neuropsychiatric Inventory score was $30 per month (95% CI: $19-$41).Conclusion BPSD contribute significantly to the overall costs of dementia care. Interventions targeted at BPSD may help to reduce the staggering societal costs of this illness. Copyright (c) 2006 John Wiley & Sons, Ltd.