Economic Evaluation of a Patient-Directed Music Intervention for ICU Patients Receiving Mechanical Ventilatory Support
Chlan LL, Heiderscheit A, Skaar DJ, Neidecker MV
Critical care medicine · 39 citations
How it was studied
- Design
- Randomized controlled trial (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Independent funding
- Government
- National Institute of Nursing Research
- Government
- NINR NIH HHS
- Grants
- National Institute of Nursing Research (R01 NR009295)
Based on 2 listed funder(s).
Publication
- Published
- 2018-05-04 · Crit Care Med · vol. 46 · issue 9 · pp. 1430–1435
- Publisher
- Lippincott Williams & Wilkins
- Cited
- 60 citations · more than 94% of similar papers · 4.5× the field average
- Impact
- Top 10% most cited in its field
- References
- 11 works
- Access
- Open access (repository copy)
- Research areas
- Music Therapy and Health · Intensive Care Unit Cognitive Disorders · Family and Patient Care in Intensive Care Units
- Keywords
- Medicine, Anxiety, Intervention (counseling), Music therapy, Intensive care unit, Cost effectiveness, Physical therapy, Emergency medicine, Intensive care medicine, Nursing, Psychiatry
- MeSH
- humans, music therapy, respiration, artificial, self care, anxiety, middle aged, intensive care units, cost-benefit analysis
4 authors
From US
- Linda L. ChlanMayo Clinic; Mayo Clinic in Arizona; Mayo Clinic in Florida
- Annette HeiderscheitAugsburg University
- Debra J. SkaarUniversity of Minnesota
- Marjorie V. NeideckerThe Ohio State University
Abstract
Objectives
Music intervention has been shown to reduce anxiety and sedative exposure among mechanically ventilated patients. Whether music intervention reduces ICU costs is not known. The aim of this study was to examine ICU costs for patients receiving a patient-directed music intervention compared with patients who received usual ICU care.
Design
A cost-effectiveness analysis from the hospital perspective was conducted to determine if patient-directed music intervention was cost-effective in improving patient-reported anxiety. Cost savings were also evaluated. One-way and probabilistic sensitivity analyses determined the influence of input variation on the cost-effectiveness.
Setting
Midwestern ICUs.
Patients
Adult ICU patients from a parent clinical trial receiving mechanical ventilatory support.
Interventions
Patients receiving the experimental patient-directed music intervention received a MP3 player, noise-canceling headphones, and music tailored to individual preferences by a music therapist.
Measurements and main results
The base case cost-effectiveness analysis estimated patient-directed music intervention reduced anxiety by 19 points on the Visual Analogue Scale-Anxiety with a reduction in cost of $2,322/patient compared with usual ICU care, resulting in patient-directed music dominance. The probabilistic cost-effectiveness analysis found that average patient-directed music intervention costs were $2,155 less than usual ICU care and projected that cost saving is achieved in 70% of 1,000 iterations. Based on break-even analyses, cost saving is achieved if the per-patient cost of patient-directed music intervention remains below $2,651, a value eight times the base case of $329.
Conclusions
Patient-directed music intervention is cost-effective for reducing anxiety in mechanically ventilated ICU patients.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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