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Relationship between functional disability and costs one and two years post stroke

View Article: PubMed Central - PubMed

ABSTRACT

Background and purpose: Stroke affects mortality, functional ability, quality of life and incurs costs. The primary objective of this study was to estimate the costs of stroke care in Sweden by level of disability and stroke type (ischemic (IS) or hemorrhagic stroke (ICH)).

Method: Resource use during first and second year following a stroke was estimated based on a research database containing linked data from several registries. Costs were estimated for the acute and post-acute management of stroke, including direct (health care consumption and municipal services) and indirect (productivity losses) costs. Resources and costs were estimated per stroke type and functional disability categorised by Modified Rankin Scale (mRS).

Results: The results indicated that the average costs per patient following a stroke were 350,000SEK/€37,000–480,000SEK/€50,000, dependent on stroke type and whether it was the first or second year post stroke. Large variations were identified between different subgroups of functional disability and stroke type, ranging from annual costs of 100,000SEK/€10,000–1,100,000SEK/€120,000 per patient, with higher costs for patients with ICH compared to IS and increasing costs with more severe functional disability.

Conclusion: Functional outcome is a major determinant on costs of stroke care. The stroke type associated with worse outcome (ICH) was also consistently associated to higher costs. Measures to improve function are not only important to individual patients and their family but may also decrease the societal burden of stroke.

No MeSH data available.


Related in: MedlinePlus

Resource use prior to and after stroke (survivors).
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pone.0174861.g003: Resource use prior to and after stroke (survivors).

Mentions: Data indicated that the costs increased in the months prior to the stroke (Fig 3). The three months after stroke was the period with the highest costs, after which the costs decreased. For patients surviving two years, the excess county council costs during the first year after stroke compared to the year prior to stroke was 150,000SEK/€16,000, which constitute approximately 73%. The costs during second year following stroke were 20% higher than the year prior to stroke.


Relationship between functional disability and costs one and two years post stroke
Resource use prior to and after stroke (survivors).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5383241&req=5

pone.0174861.g003: Resource use prior to and after stroke (survivors).
Mentions: Data indicated that the costs increased in the months prior to the stroke (Fig 3). The three months after stroke was the period with the highest costs, after which the costs decreased. For patients surviving two years, the excess county council costs during the first year after stroke compared to the year prior to stroke was 150,000SEK/€16,000, which constitute approximately 73%. The costs during second year following stroke were 20% higher than the year prior to stroke.

View Article: PubMed Central - PubMed

ABSTRACT

Background and purpose: Stroke affects mortality, functional ability, quality of life and incurs costs. The primary objective of this study was to estimate the costs of stroke care in Sweden by level of disability and stroke type (ischemic (IS) or hemorrhagic stroke (ICH)).

Method: Resource use during first and second year following a stroke was estimated based on a research database containing linked data from several registries. Costs were estimated for the acute and post-acute management of stroke, including direct (health care consumption and municipal services) and indirect (productivity losses) costs. Resources and costs were estimated per stroke type and functional disability categorised by Modified Rankin Scale (mRS).

Results: The results indicated that the average costs per patient following a stroke were 350,000SEK/€37,000–480,000SEK/€50,000, dependent on stroke type and whether it was the first or second year post stroke. Large variations were identified between different subgroups of functional disability and stroke type, ranging from annual costs of 100,000SEK/€10,000–1,100,000SEK/€120,000 per patient, with higher costs for patients with ICH compared to IS and increasing costs with more severe functional disability.

Conclusion: Functional outcome is a major determinant on costs of stroke care. The stroke type associated with worse outcome (ICH) was also consistently associated to higher costs. Measures to improve function are not only important to individual patients and their family but may also decrease the societal burden of stroke.

No MeSH data available.


Related in: MedlinePlus