Inpatient Cost of Stroke Care in Greece: Preliminary Results of the Web-Based "SUN4P" Registry.

Autor:	Siskou O; Center for Health Services Management and Evaluation, Department of Nursing, National and Kapodistrian University of Athens, Athens, Greece., Galanis P; Center for Health Services Management and Evaluation, Department of Nursing, National and Kapodistrian University of Athens, Athens, Greece., Konstantakopoulou O; Center for Health Services Management and Evaluation, Department of Nursing, National and Kapodistrian University of Athens, Athens, Greece., Karagkouni I; Center for Health Services Management and Evaluation, Department of Nursing, National and Kapodistrian University of Athens, Athens, Greece., Tsampalas E; Department of Neurology, Panarkadikon General Hospital, Tripoli, Greece., Garefou D; Department of Neurology, Panarkadikon General Hospital, Tripoli, Greece., Alexopoulou H; Department of Neurology, Panarkadikon General Hospital, Tripoli, Greece., Gamvroula A; Department of Neurology, Panarkadikon General Hospital, Tripoli, Greece., Kalliontzakis I; Department of Neurology, General Hospital of Chania, Creta, Greece., Fragkoulaki A; Department of Neurology, General Hospital of Chania, Creta, Greece., Kouridaki A; Department of Neurology, General Hospital of Chania, Creta, Greece., Tountopoulou A; 1st Department of Neurology, Eginition Hospital, National and Kapodistrian University of Athens, Athens, Greece., Kouzi I; 1st Department of Neurology, Eginition Hospital, National and Kapodistrian University of Athens, Athens, Greece., Vassilopoulou S; 1st Department of Neurology, Eginition Hospital, National and Kapodistrian University of Athens, Athens, Greece., Manios E; Department of Clinical Therapeutics, Alexandra Hospital, National and Kapodistrian University of Athens, Athens, Greece., Mavraganis G; Department of Clinical Therapeutics, Alexandra Hospital, National and Kapodistrian University of Athens, Athens, Greece., Ntaios G; Hellenic Stroke Organization, Greece.; Department of Internal Medicine, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece., Karagkiozi E; Department of Internal Medicine, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece., Louka AM; Department of Internal Medicine, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece., Savopoulos C; 1st Medical Propedeutic Department of Internal Medicine, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece., Dimas G; 1st Medical Propedeutic Department of Internal Medicine, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece., Myrou A; 1st Medical Propedeutic Department of Internal Medicine, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece., Milionis H; Department of Internal Medicine, School of Medicine, University of Ioannina, Ioannina, Greece., Siopis G; Department of Internal Medicine, School of Medicine, University of Ioannina, Ioannina, Greece., Evaggelou H; Department of Internal Medicine, School of Medicine, University of Ioannina, Ioannina, Greece., Protogerou A; Cardiovascular Prevention & Research Unit in Laiko General Hospital of Athens at the Medical School of the National & Kapodistrian University of Athens, Greece., Samara S; Cardiovascular Prevention & Research Unit in Laiko General Hospital of Athens at the Medical School of the National & Kapodistrian University of Athens, Greece., Karapiperi A; Cardiovascular Prevention & Research Unit in Laiko General Hospital of Athens at the Medical School of the National & Kapodistrian University of Athens, Greece., Kakaletsis N; Second Propedeutic Department of Internal Medicine, Aristotle University of Thessaloniki, Hippokrateion General Hospital of Thessaloniki, Greece., Gallos P; Center for Health Services Management and Evaluation, Department of Nursing, National and Kapodistrian University of Athens, Athens, Greece., Papastefanatos S; Center for Health Services Management and Evaluation, Department of Nursing, National and Kapodistrian University of Athens, Athens, Greece., Sourtzi P; Center for Health Services Management and Evaluation, Department of Nursing, National and Kapodistrian University of Athens, Athens, Greece., Vemmos K; Hellenic Stroke Organization, Greece., Korompoki E; Department of Clinical Therapeutics, Alexandra Hospital, National and Kapodistrian University of Athens, Athens, Greece.; Hellenic Stroke Organization, Greece., Kaitelidou D; Center for Health Services Management and Evaluation, Department of Nursing, National and Kapodistrian University of Athens, Athens, Greece.
Jazyk:	angličtina
Zdroj:	Studies in health technology and informatics [Stud Health Technol Inform] 2022 Jan 14; Vol. 289, pp. 439-442.
DOI:	10.3233/SHTI210952
Abstrakt:	The aim of this study was to calculate the average operational cost per sub-type of stroke patient and to investigate cost drivers (e.g. ALoS, NIHSS score, age) correlated to cost. Methods: Direct medical costs (diagnostic imaging and clinical laboratory exams, overheads/bed cost, pharmaceuticals, ringers and other non-durables and inpatient rehabilitation) per patient were calculated from the providers' (hospitals') perspective. Resource use data derived from the "SUN4P" web-based registry and unit costs were retrieved from publically available sources and were assigned to resource use. Results: The sample comprised 6,282 inpatient days of 750 patients (mean age: 75.5±13.3 years) admitted from July 2019 to July 2021, in nine public hospitals. Mean length of stay was 8.4±7.6 days and mean total operational cost was calculated to €1,239.4 (from which 45% and 35% related to diagnostic exams and overheads/bed cost respectively). Mean cost related to hemorrhagic stroke patients that were discharged alive was calculated significantly higher compared to mean cost related to ischemic stroke patients who didn't undertake thrombolysis and were also discharged alive from the hospital (€2,155.2 vs. €945.2, p<0.001). Linear regression analysis revealed that length of stay was significantly correlated with cost (coefficient beta=232, 95% CI confidence interval = 220-243, p<0.001). Conclusions: These findings are in accordance with current evidence and should be thoroughly assessed to rationalize inpatient reimbursement rates in order to achieve improved value of care.
Databáze:	MEDLINE
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