Trends in healthcare resource use and expenditure before and after ischaemic stroke. A population-based study Evolución del gasto en servicios sanitarios antes y después del ictus isquémico : análisis de base poblacional
Ribera, A. (Catalunya. Generalitat)
Vela, Emili (Servei Català de la Salut)
García-Altés, Anna (Institut d'Investigació Biomèdica Sant Pau)
Clèries, Montse (Servei Català de la Salut)
Abilleira i Castells, Sònia (Agència per la Qualitat i l'Avaluació Sanitària de Catalunya)
Universitat Autònoma de Barcelona

Date:	2022
Abstract:	Despite improved survival rates, stroke represents an increasing healthcare and socioeconomic burden. We describe the main characteristics of patients with ischaemic stroke and resource use and associated expenditure one year before and 3 years after stroke, using a population-based dataset. The information technology systems of the Catalan Health Service were used to identify patients with ischaemic strokes occurring between January 2012 and December 2016. For each patient, information from one year before the stroke and up to 3 years thereafter was linked across databases. We describe annual and monthly resource use and healthcare expenditure per patient. We identified 36,044 patients with ischaemic stroke (mean age, 74. 7 ± 13. 3 years). The survival rate at 3 years was 63%. Average expenditure per patient was €3,230 the year before stroke, €11,060 for year one after stroke, €4,104 for year 2, and €3,878 for year 3. The greatest determinants of cost in year one were hospitalisation (including initial hospitalisation), representing 45% of the difference in expenditure compared to the previous year, and convalescence and rehabilitation services, representing 33% of this difference. After year one, the increase in expenditure was mainly determined by additional hospital admissions and drug treatment. After ischaemic stroke, healthcare expenditure increases primarily because of initial hospitalisation. After year one, the expenditure decreases but remains above baseline values. Information from population-based datasets is useful for improving the planning of stroke services.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Language:	Castellà
Document:	Article ; recerca ; Versió publicada
Subject:	Gasto sanitario ; Healthcare expenditure ; Ictus isquémico ; Ischaemic stroke ; Resource use ; Uso de recursos
Published in:	Neurología, Vol. 37 Núm. 1 (enero 2022) , p. 21-30, ISSN 1578-1968

DOI: 10.1016/j.nrl.2018.11.002
PMID: 34538775

10 p, 1.1 MB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles