TY - JOUR
T1 - The impact factors on the cost and length of stay among acute ischemic stroke
AU - Huang, Ying Chih
AU - Hu, Chaur Jong
AU - Lee, Tsong Hai
AU - Yang, Jen Tsung
AU - Weng, Hsu Huei
AU - Lin, Leng Chieh
AU - Lai, Shiao Lin
PY - 2013/10
Y1 - 2013/10
N2 - Background: Understanding hospital costs and length of stay (LOS) can optimize the in-hospital management of acute stroke. We investigated cost and LOS in first-ever and recurrent stroke patients in Taiwan. Methods: Data were examined in patients at Chang Gung Memorial Hospital in Chiayi County of Taiwan from April 1, 2005, to March 31, 2007. Predictors of hospital cost and LOS in these patients were studied. Results: The study included 1021 patients with 1084 stroke episodes. Mean age was 68.1 ± 10.8 years (range: 32-93). The average cost was NTD$45,709.30 ± NTD$66,697.40 (US$1408.70 ± US$2084.30; US$1 = NTD$32) and average LOS was 13.9 ± 14.1 days (range: 1-129). After multivariate regression analysis, the significant predictive factors for cost were LOS, smoking, and medication for secondary prevention. The significant predictive factors for LOS were diabetes mellitus, atrial fibrillation, recurrence, and stroke subtype. Conclusions: Age 65 and over, atrial fibrillation, stroke treatment, and subtypes were the significant predictive factors affecting hospital costs and LOS. Compared to other countries, Taiwan spent the least while Canada had the highest expense. The United States had the shortest LOS (6 days) in contrast to Canada with the longest LOS (34-47 days). Regarding mean daily cost of stroke, the United States had the highest cost per day while China spent the least.
AB - Background: Understanding hospital costs and length of stay (LOS) can optimize the in-hospital management of acute stroke. We investigated cost and LOS in first-ever and recurrent stroke patients in Taiwan. Methods: Data were examined in patients at Chang Gung Memorial Hospital in Chiayi County of Taiwan from April 1, 2005, to March 31, 2007. Predictors of hospital cost and LOS in these patients were studied. Results: The study included 1021 patients with 1084 stroke episodes. Mean age was 68.1 ± 10.8 years (range: 32-93). The average cost was NTD$45,709.30 ± NTD$66,697.40 (US$1408.70 ± US$2084.30; US$1 = NTD$32) and average LOS was 13.9 ± 14.1 days (range: 1-129). After multivariate regression analysis, the significant predictive factors for cost were LOS, smoking, and medication for secondary prevention. The significant predictive factors for LOS were diabetes mellitus, atrial fibrillation, recurrence, and stroke subtype. Conclusions: Age 65 and over, atrial fibrillation, stroke treatment, and subtypes were the significant predictive factors affecting hospital costs and LOS. Compared to other countries, Taiwan spent the least while Canada had the highest expense. The United States had the shortest LOS (6 days) in contrast to Canada with the longest LOS (34-47 days). Regarding mean daily cost of stroke, the United States had the highest cost per day while China spent the least.
KW - Cost
KW - acute
KW - ischemic stroke
KW - length of stay
KW - risk factor
KW - subtypes
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U2 - 10.1016/j.jstrokecerebrovasdis.2012.10.014
DO - 10.1016/j.jstrokecerebrovasdis.2012.10.014
M3 - Article
C2 - 23253537
AN - SCOPUS:84885975400
SN - 1052-3057
VL - 22
SP - e152-e158
JO - Journal of Stroke and Cerebrovascular Diseases
JF - Journal of Stroke and Cerebrovascular Diseases
IS - 7
ER -