Cost-consequence analysis of respiratory preventive intervention among institutionalized older people: Randomized controlled trial

M. Ángeles Cebrià
M. Ángeles Tortosa
Celedonia Igual
Patricia Sancho
Laura Galiana
José M. Tomás

2014
Article

Introduction

The institutionalized elderly with functional impairment show a greater decline in respiratory muscle (RM) function. The aims of the study are to evaluate outcomes and costs of RM training using Pranayama in institutionalized elderly people with functional impairment.

Material and methods

A randomized controlled trial was conducted on institutionalized elderly people with walking limitation (n=54). The intervention consisted of 6 weeks of Pranayama RM training (5 times/week). The outcomes were measured at 4 time points, and were related to RM function: the maximum respiratory pressures and the maximum voluntary ventilation. Perceived satisfaction in the experimental group (EG) was assessed by means of an ad hoc questionnaire. Direct and indirect costs were estimated from the social perspective.

Results

The GE showed a significant improvement related with strength (maximum respiratory pressures) and endurance (maximum voluntary ventilation) of RM. Moreover, 92% of the EG reported a high satisfaction. The total social costs, direct and indirect, amounted to €21,678.

 

Reference:

Cebrià, M.A.; Tortosa, M.A.; Igual, C.; Sancho, P.; Galiana, L.; Tomás, J.M. (2014): Descripción de los resultados y costes de una intervención preventiva a nivel respiratorio en el anciano  institucionalizado: estudio controlado aleatorizado, Revista Española de Geriatría y Gerontología, 49(5), pp. 203-209. DOI: 10.1016/j.regg.2013.11.002

Research areas