Direct Medical Cost of Hospitalization for Acute Stroke in Lebanon: A Prospective Incidence-Based Multicenter Cost-of-Illness Study

Autor: Najo A. Jomaa, Rachel Abdo, Halim Abboud, Rana Rizk, Hassan Hosseini, Pascale Salameh
Přispěvatelé: RS: CAPHRI - R2 - Creating Value-Based Health Care, Promovendi PHPC, Health Services Research
Předmět:
Male
INTRACEREBRAL HEMORRHAGE
cost of illness
hospital costs
Severity of Illness Index
regression analysis
law.invention
0302 clinical medicine
Modified Rankin Scale
law
AMERICAN-HEART-ASSOCIATION
ACUTE ISCHEMIC-STROKE
INPATIENT COSTS
030212 general & internal medicine
Lebanon
humans
Prospective cohort study
Stroke
health care economics and organizations
Original Research
STATEMENT
lcsh:Public aspects of medicine
Health Policy
Middle Aged
stroke
Intensive care unit
Hospitalization
Cost driver
GUIDELINE
Female
medicine.medical_specialty
RESOURCE UTILIZATION
03 medical and health sciences
MANAGEMENT
medicine
cardiovascular diseases
Health policy
business.industry
MORTALITY
Public health
lcsh:RA1-1270
Length of Stay
UNIT CARE
medicine.disease
prospective studies
CEREBROVASCULAR EVENTS
Emergency medicine
incidence
Observational study
business
030217 neurology & neurosurgery
Zdroj: BASE-Bielefeld Academic Search Engine
Inquiry-The Journal of Health Care Organization Provision and Financing, 55:0046958018792975, 1-11. SAGE Publications Inc.
Inquiry: A Journal of Medical Care Organization, Provision and Financing
Inquiry: The Journal of Health Care Organization, Provision, and Financing, Vol 55 (2018)
ISSN: 0046-9580
Popis: Stroke is a major social and health problem posing heavy burden on national economies. We provided detailed financial data on the direct in-hospital cost of acute stroke care in Lebanon and evaluated its drivers. This was an observational, quantitative, prospective, multicenter, incidence-based, bottom-up cost-of-illness study. Medical and billing records of stroke patients admitted to 8 hospitals in Beirut over 1 year were analyzed. Direct medical costs were calculated, and cost drivers were assessed using a multivariable linear regression analysis. In total, 203 stroke patients were included (male: 58%; mean age: 68.8 ± 12.9 years). The direct in-hospital cost for all cases was US$1 413 069 for 2626 days (US$538 per in-hospital day). The average in-hospital cost per stroke patient was US$6961 ± 15 663. Hemorrhagic strokes were the most costly, transient ischemic attack being the least costly. Cost drivers were hospital length of stay, intensive care unit length of stay, type of stroke, stroke severity, modified Rankin Scale, third party payer, surgery, and infectious complications. Direct medical cost of acute stroke care represents high financial burden to Lebanese health system. Development of targeted public health policies and primary prevention activities need to take priority to minimize stroke admission in future and to contain this cost.
Databáze: OpenAIRE
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