Online ISSN: 3007-0244,
Print ISSN:  2410-4280
COST ANALYSIS OF STROKE CASES ADMITTED TO OUR EMERGENCY DEPARTMENT IN TÜRKIYE
Objective: It was aimed to investigate and costs of stroke patients. Materials and methods: A database of stroke patients admitted between November 15th, 2016, and November 15th, 2017.was constructed. Descriptive statistics were used to summarize cost and patients’ demographics. Mann-Witney U test was used in the analysis of nonparametric data. A value of p<0.05 was considered statistically significant Results: A total of 91 patients were analyzed, the median age was 79 (12) years. The median cost for ischemic stroke patients included in our study was $573.78 [$1307.75], while for hemorrhagic stroke patients, it was $1161.69 [$2128]. We found a statistically significant difference in costs between stroke types (p<0.05). The cost of hemorrhagic stroke to our hospital was higher. Conclusions: According to our study, we found that the median cost of patients was $859.66. We also observed that gender and comorbidities did not affect the cost.
Serhat İldes1, Cemil Kavalci2, Kaan Celik1, Beliz Oztok Tekten1, Gülsüm Kavalci3 1 Abant Izzet Baysal University Faculty of Medicine, Emergency Medicine Department, Bolu, Türkiye; 2 Health Science University of Türkiye, Antalya Training and Research Hospital, Emergency Departmeny, Türkiye; 3 University of Health Science Turkey, Antalya Training and Research Hospital, Anesthesiology Department, Türkiye.
1. Bergman L., van der Meulen J.H., Limburg M., Habbema J.D. Costs of medical care after first-ever stroke in the Netherlands // Stroke, 1995. 26(10):1830-1836. 2. Caro J.J., Huybrechts K.F., Kelley H.E. Predicting treatment costs after acute ischemic stroke on the basis of patient characteristics at presentation and early dysfunction // Stroke, 2001. 32(1):100-106. 3. Chang K.C., Tseng M.C., Weng H.H., Lin Y.H., Liou C.W., Tan T.Y. Prediction of length of stay of first-ever ischemic stroke // Stroke, 2002. 33(11):2670-2674. 4. Christensen M.C., Valiente R., Silva S.G., Lee W.C., Dutcher S., Rocha M.S.G., et al. Acute treatment costs of stroke in Brazil // Neuroepidemiology. 2009, 32:142–149. 5. Çığşar G., User N.N. Analysis of Acute Stroke Patients Admitted to the Emergency Department // Kafkas J Med Sci, 2015. 5(1): 6-12. 6. Demaerschalk B.M., Hwang H.M., Leung G. US cost burden of ischemic stroke: a systematic literature review // Am J Manag Care, 2010;16(7):525-533. 7. Diesto J.D.B., Omar A.T., Sarmiento R.J.C., Enriquez C.A.G., Chua-DeCastillo L.L., Ho B.L. Cost of hospitalization for stroke in a low-middle-income country: Findings from a public tertiary hospital in the Philippines // Int J Stroke. 2021;16(1):39-42. doi: 10.1177/1747493020906872. 8. Diringer M., Edwards D.F., Mattson D.T., Akins P.T., Sheedy C.W., Hsu C.Y., Dromerick A.W. Predictors of acute hospital costs for treatment of ischemic stroke in an academic center // Stroke, 1999. 30(4):724-728. 9. Evers S.M., Ament A.J., Blaauw G. Economic evaluation in stroke research: a systematic review // Stroke, 2000;31(5):1046-1053. 10. Evers S.M., Goossens M.E., Ament A.J., Maarse J.A. Economic evaluation in stroke research. An introduction // Cerebrovascular diseases (Basel, Switzerland), 2001. 11(2):82-91. 11. Fagan S.C., Morgenstern L.B., Petitta A., Ward R.E., Tilley B.C., Marler J.R. et al. Cost-effectiveness of tissue plasminogen activator for acute ischemic stroke. NINDS rt-PA Stroke Study Group // Neurology, 1998. 50(4):883-90. 12. Go A.S., Mozaffarian D., Roger V.L., Benjamin E.L., Berry J.D., Borden W.B. et al. Heart disease and stroke statistics-2013 update: a report from the American Heart Association // Circulation, 2013. 127(1):6-245. 13. Gustavsson A., Svensson M., Jacobi F., Allgulander C., Alonso J., Beghi E., et al. Cost of disorders of the brain in Europe 2010 // Eur Neuropsychopharmacol, 2011. 21(10):718-779. 14. Holloway R., Witter Jr.D., Lawton K.B., Lipscomb J., Samsa G. Inpatient costs of specific cerebrovascular events at five academic medical centers // Neurology, 1996. 46(3):854-860. 15. İçağasıoğlu A., Baklacıoğlu H.Ş., Mesci E., Yumuşakhuylu Y., Murat S., Mesci N. Economic burden of stroke // Turk J Phys Med Rehabil, 2017. 63(2):155-159. 16. Jorgensen H., Nakayama H., Reith J., Raaschou H.O., Olsen T.S. Factors delaying hospital admission in acute stroke The Copenhagen Stroke Study // Neurology, 1996. 47(2):383-387 17. Kandemir M., Kalyoncu-Aslan I., Bakaç G., Kırbaş D. Cost Evaluation in Acute Stroke // Archives of Neuropsychiatry, 2012. 49(3):72-177. 18. Kwatra G., Kaur P., Toor G., Badyal D.K., Kaur R., Singh Y., Pandian J.D. Cost of stroke from a tertiary center in northwest India // Neurol India. 2013, 61: 627. 19. Lorenzovici L., Székely A., Csanádi M., Gaál P. Cost Assessment of Inpatient Care Episodes of Stroke in Romania // Front. Public Health 2020. 8:605919. doi: 10.3389/fpubh.2020.605919 20. Ng C.S., Toh M.P., Ng J., Ko Y. Direct medical cost of stroke in Singapore // Int J Stroke 2015. 10: 75–82 21. Nordin N.A.M., Aljunid S.M., Aziz N.A., Nur M. Sulong S. Direct medical cost of stroke: findings from a tertiary hospital in Malaysia // Med J Malaysia, 2012. 67: 472–477 22. Nguyen T., Le T. Inpatient treatment cost of post-stroke: an analysis in hospital of Occupational Diseases and Rehabilitation, Vietnam // Value Heal. 2016, 19:A649 23. Pan Y., Chen O., Zhao X., Liao X., Wang C., Du W., et al., Cost-effectiveness of thrombolysis within 4.5 hours of acute ischemic stroke in China // PloS one, 2014. 9(10):1-8. 24. Persson J., Ferraz-Nunes J., Karlberg I. Economic burden of stroke in a large county in Sweden // BMC health services research, 2012. 12(341):1-8. 25. Rha J.H., Koo J., Cho K.H., Kim E.G., Oh G.S. et al. Two-year direct medical costs of stroke in Korea: a multi-centre incidence-based study from hospital perspectives // International Journal of Stroke 2012. doi:10. .1111/j.1747-4949.2012.00815.x 26. Reed S.D., Blough D.K., Meyer K., Jarvik J.G. Inpatient costs, length of stay, and mortality for cerebrovascular events in community hospitals // Neurology, 2001. 57(2):305-314. 27. Smurawska L.T., Alexandrov A.V., Bladin C.F., Norris J.W. Cost of Acute Stroke Care in Toronto, Canada // Stroke 1994. 25(8):1628-1631 28. Tanny S.P., Busija L., Liew D., Teo S., Davis S.M., Yan B. Cost-effectiveness of thrombolysis within 4.5 hours of acute ischemic stroke: experience from Australian stroke center. 29. Taylor T.N., Davis P.H., Torner J.C., Holmes J., Meyer J.W., Jacobsonet M.F. Lifetime cost of stroke in the United States // Stroke, 1996. 7(9):1459-1466. 30. van Eeden M., van Heugten C.M., Evers S.M. The economic impact of stroke in The Netherlands: the €-restore4stroke study // BMC Public Health, 2012. 12(1):122. 31. Wang G., Zhang Z., Ayala C., Dunet D., Fang J., George M. Costs of hospitalization for stroke patients aged 18–64 years in the United States. J Stroke Cerebrovasc Dis 2014; 23: 861–868 32. Yin X., Huang L., Man X., Jiang Y., Zhao X., Zhao L., Cheng W. Inpatient cost of stroke in Beijing: a descriptive analysis // Neuroepidemiology. 2018, 51: 115–122 33. Yoneda Y., Okuda S., Hamada R., Toyota A., Gotoh J., Watanabe M., et al. Hospital cost of ischemic stroke and intracerebral hemorrhage in Japanese stroke centers // Health Policy (New York). 2005. 73: 202–211 34. Yoneda Y., Uehara T., Yamasaki H., Kita Y., Tabuchi M., Mori E. Hospital-based study of the care and cost of acute ischemic stroke in Japan // Stroke, 2003. 34(3): p. 718-724 35. Zhao Y., Condon J., Lawton P., He V., Cadilhac D.A. Lifetime direct costs of stroke for indigenous patients adjusted for comorbidities // Neurology 2016. 87. 458-465
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Ildes S., Kavalci C., Celik K., Tekten B.0., Kavalci G. Cost Analysis of Stroke Cases Admitted to Our Emergency Department in Türkiye // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 2, pp. 35-40. doi 10.34689/SH.2023.25.2.005

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