Economic burden of stroke
Economic burden of stroke
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DOI：
10.5606/tftrd.2017.183
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发表时间：
2017-01-01
影响因子：
1.3
通讯作者：
Mesci, Nilgun
中科院分区：
文献类型：
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作者：
Icagasioglu, Afitap;Baklacioglu, Hatice Sule;Mesci, Nilgun
目的：本研究的目的是估计每年的经济成本每偏瘫患者在Turkish.Patients和方法：2014年9月和2014年12月之间，共84偏瘫患者（53男，31女;平均年龄61.4 +/- 13.5岁;范围28-89岁）与中风12个月被纳入本研究。评价脑血管意外类型及并发症。医院记录和病人亲属的数据被用来计算费用。从首次住院开始评估年度费用。直接成本计算为医院护理（急症护理、诊断调查、治疗和康复）、药物、医疗访问、门诊康复和矫形辅助设备的总和。计算间接费用时考虑到了因缺勤造成的收入损失。医疗资源价格来源于2014年《医疗卫生实施通知》支付清单。研究结束时，计算出每例患者的平均直接成本和间接成本分别为10，594.90 +/-6，554.20土耳其里拉和9，357.10 +/-10，195.60土耳其里拉（4，606.47 +/-2，849.65美元和4，068.30 +/-4，432.86美元）。我们发现总费用与年龄呈负相关（p=0.001），与住院时间（p=0.001）和并发症数量（p=0.049）呈正相关。未发现性别、脑血管意外类型与住院费用的关系。痉挛（p=0.028）和癫痫（p=0.037）之间的并发症，观察到增加costs.Conclusion：中风是土耳其人口的一个重要的经济负担。必须采取预防性的社会措施来降低这一成本。
Objectives: This study aims to estimate the annual economic cost per hemiplegic patient in Turkey.Patients and methods: Between September 2014 and December 2014, a total of 84 hemiplegic patients (53 males, 31 females; mean age 61.4 +/- 13.5 years; range 28-89 years) with stroke for 12 months were included in the study. Type of cerebrovascular accident and complications were evaluated. Hospital records and data from the relatives of the patients were used to calculate the cost. Annual costs were evaluated starting from first hospitalization. Direct costs were calculated with the sum of hospital care (acute care, diagnostic investigations, treatment and rehabilitation), medications, medical visits, outpatient rehabilitation and orthopedic aids. Indirect costs were calculated by taking the income loss due to absence from work into consideration. Prices of medical resources were obtained from the 2014 Healthcare Implementation Notification payment list.Results: At the end of the study, the average direct cost and indirect cost per patient were calculated respectively as 10,594.90 +/- 6,554.20 Turkish liras and 9,357.10 +/- 10,195.60 Turkish liras (4,606.47 +/- 2,849.65 USD and 4,068.30 +/- 4,432.86 USD). We found a negative correlation between total cost and age (p=0.001), and a positive correlation with duration of hospitalization (p=0.001) and number of complications (p=0.049). We were unable to find any relation of cost with sex and cerebrovascular accident type. Spasticity (p=0.028) and epilepsy (p=0.037) being among the complications were observed to increase the cost.Conclusion: Stroke is an important economic burden for Turkish population. Preventive social measures are necessary to reduce this cost.