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Relationship between functional disability and costs one and two years post stroke.

Journal article
Authors Ingrid Lekander
Carl Willers
Mia von Euler
Mikael Lilja
Katharina S Sunnerhagen
Hélène Pessah-Rasmussen
Fredrik Borgström
Published in PloS one
Volume 12
Issue 4
Pages e0174861
ISSN 1932-6203
Publication year 2017
Published at Institute of Neuroscience and Physiology, Department of Physiology
Pages e0174861
Language en
Links dx.doi.org/10.1371/journal.pone.017...
www.ncbi.nlm.nih.gov/entrez/query.f...
Subject categories Health Care Service and Management, Health Policy and Services and Health Economy, Neurology

Abstract

Stroke affects mortality, functional ability, quality of life and incurs costs. The primary objective of this study was to estimate the costs of stroke care in Sweden by level of disability and stroke type (ischemic (IS) or hemorrhagic stroke (ICH)).Resource use during first and second year following a stroke was estimated based on a research database containing linked data from several registries. Costs were estimated for the acute and post-acute management of stroke, including direct (health care consumption and municipal services) and indirect (productivity losses) costs. Resources and costs were estimated per stroke type and functional disability categorised by Modified Rankin Scale (mRS).The results indicated that the average costs per patient following a stroke were 350,000SEK/€37,000-480,000SEK/€50,000, dependent on stroke type and whether it was the first or second year post stroke. Large variations were identified between different subgroups of functional disability and stroke type, ranging from annual costs of 100,000SEK/€10,000-1,100,000SEK/€120,000 per patient, with higher costs for patients with ICH compared to IS and increasing costs with more severe functional disability.Functional outcome is a major determinant on costs of stroke care. The stroke type associated with worse outcome (ICH) was also consistently associated to higher costs. Measures to improve function are not only important to individual patients and their family but may also decrease the societal burden of stroke.

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