The economic burden of stroke in italy. The ECLIPSE study: Economic longitudinal incidence-based project for stroke evaluation
The economic burden of stroke in italy. The ECLIPSE study: Economic longitudinal incidence-based project for stroke evaluation
复制标题
DOI：
10.1007/s10072-005-0439-0
复制
发表时间：
2005-06-01
影响因子：
3.3
通讯作者：
Gandolfo, C
中科院分区：
文献类型：
--
作者：
Gerzeli, S;Tarricone, R;Gandolfo, C
中风是世界上第二常见的死亡原因。这项研究的目的是从社会的角度估计意大利中风的直接成本和生产力损失，并解释成本的变异性。设计了一项前瞻性观察性多中心疾病成本研究。意大利11家医院连续入选了449名因首次急性中风而住院的患者。在患者登记时、出院后3个月、6个月和12个月评估费用和结果。总体而言，袭击发生后的前六个月，每个患者的社会成本为1.16万欧元；其中53%是医疗成本，39%是非医疗成本，其余8%是生产力损失。年龄、残疾程度和医院病房类型是六个月社会成本最显著的预测因素。急性期占总医疗费用的50%以上，剩下的50%留给后急性期，这表明后续行动也应该列入政策制定者的议事日程。
Stroke is the second most common cause of death in the world. The aim of this study is to estimate stroke's direct costs and productivity losses in Italy from a societal perspective and to explain cost variability. A prospective observational multicentre cost of illness study was designed. Four hundred and forty-nine consecutive patients admitted because of acute first-ever stroke in 11 Italian hospitals were enrolled. Costs and outcomes were assessed at patients' enrolment, and at 3, 6 and 12 months after discharge. Overall, social costs in the first six months following the attack were 11600euro per patient; 53% of this was health care costs, 39% non-health care costs and the remaining 8% productivity losses. Age, level of disability and type of hospital ward were the most significant predictors of six-month social costs. The acute phase counted for more than 50% of total health care costs, leaving the remaining 50% to the post-acute phase, indicating that follow-up should be on the agenda of policy makers also.