Trends in healthcare resource use and expenditure before and after ischaemic
Por:
Ribera, A, Garcia-Altes, A, Cleries, M, Abilleira, S, Vela, E
Publicada:
1 ene 2022
Ahead of Print:
1 ene 2022
Resumen:
Introduction: 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.
Methods: 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.
Results: 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 euro 3,230 the year before stroke, euro 11,060 for year one after stroke, euro 4,104 for year 2, and euro 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.
Conclusion: 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. (C) 2019 Sociedad Espanola de Neurologia. Published by Elsevier Espana, S.L.U.
Filiaciones:
Ribera, A:
Hosp Univ Vall dHebron, Unidad Epidemiol Cardiovasc, Barcelona, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain
Generalitat Catalunya, Dept Salut, Malaltia Vasc Cerebral, Barcelona, Spain
Garcia-Altes, A:
CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain
Agencia Qualitat & Avaluacio Sanitaria Catalunya, Dept Salut, Barcelona, Spain
Inst Invest Biomed IIB St Pau, Barcelona, Spain
Cleries, M:
Serv Catala Salut, Unitat Informacio & Coneixement, Barcelona, Spain
Abilleira, S:
CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain
Generalitat Catalunya, Dept Salut, Malaltia Vasc Cerebral, Barcelona, Spain
Vela, E:
Serv Catala Salut, Unitat Informacio & Coneixement, Barcelona, Spain
Agencia Qualitat & Avaluacio Sanitaria Catalunya, Dept Salut, Barcelona, Spain
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