A Literature Review of Indirect Costs Associated with Stroke

Joo, Heesoo; George, Mary G.; Fang, Jing; Wang, Guijing

doi:10.1016/j.jstrokecerebrovasdis.2014.02.017

Cited by 71 publications

(53 citation statements)

References 39 publications

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“…3 The inability of many working-aged patients to return to work after a stroke is a major contributor to productivity losses. As an outcome measure, however, the return-to-work factor excludes a crucial portion of the study population: those outside of the workforce.…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, the indirect costs are estimated to be more significant than are the direct costs, indicating an urgent need to understand these costs. 2 Joo et al 3 concluded a recent review of indirect costs associated with stroke by stating that ''indirect costs account for a significant portion of the economic burden of stroke and there is a pressing need to develop proper approaches to analyze these costs and to make better use of relevant data sources for such studies or establish new ones.'' In this study, we introduce a novel approach to measure productivityrelated variation, the use of stroke-related income supplements, to trace stroke-related productivity changes in both employed patients and patients outside of the workforce.…”

mentioning

confidence: 99%

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Use of Stroke-Related Income Supplements and Predictors of Use in a Working-Aged Finnish Ischemic Stroke Cohort

Kauranen

Laari

Turunen

et al. 2015

Journal of Stroke and Cerebrovascular Diseases

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Use of Stroke-Related Income Supplements and Predictors of Use in a Working-Aged Finnish Ischemic Stroke Cohort

Kauranen

Laari

Turunen

et al. 2015

Journal of Stroke and Cerebrovascular Diseases

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“…Inability to identify and respond to stroke could delay medical intervention and have far-reaching economic impact on the direct and indirect costs (7,46,47) seeking urgent medical attention in the instance of stroke, it is of concern that a high proportion of respondents were unable to define key symptoms of stroke. In a life-situation, when a response to act on visible stroke symptoms is required the observer will see something unusual in the affected individual.…”

Section: Discussionmentioning

confidence: 99%

Stroke Awareness and Knowledge in an Urban New Zealand Population

Bay

Spiroski

Fogg‐Rogers

et al. 2015

Journal of Stroke and Cerebrovascular Diseases

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We recommend you cite the published version. The publisher's URL is: http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2015.01.003Refereed: Yes (no note) Disclaimer UWE has obtained warranties from all depositors as to their title in the material deposited and as to their right to deposit such material. UWE makes no representation or warranties of commercial utility, title, or fitness for a particular purpose or any other warranty, express or implied in respect of any material deposited. UWE makes no representation that the use of the materials will not infringe any patent, copyright, trademark or other property or proprietary rights. UWE accepts no liability for any infringement of intellectual property rights in any material deposited but will remove such material from public view pending investigation in the event of an allegation of any such infringement. 3 Abstract Background: Stroke is the third most common cause of death and a major cause of chronic disability in New Zealand. Linked to risk factors that develop across the life course, stroke is considered to be largely preventable. This study assessed awareness of stroke risk, symptoms, detection, and prevention behaviours in an urban New Zealand population.Methods: Demographics, stroke risk factors awareness, symptoms, responsiveness, and prevention behaviours were evaluated using a structured oral questionnaire. Binomial logistic regression analyses were used to identify predictors of stroke literacy.Results: Whilst personal experience of stroke increased awareness of symptoms and their likeliness to indicate the need for urgent medical attention, only 42.7% of respondents (n=850) identified stroke as involving both blood and the brain. Educational attainment at or above a trade certificate, apprenticeship, or diploma increased awareness of stroke symptoms compared to those with no formal educational attainment. Pacific Island respondents were less likely than New Zealand Europeans to identify a number of stroke risk factors. Māori, Pacific Island, and Asian respondents were less likely to identify symptoms of stroke and indicate the need for urgent medical attention. Conclusions:The variability in stroke awareness and knowledge may suggest the need to enhance stroke-related health literacy that facilitates understanding of risk as well as factors that reduce morbidity and mortality following stroke in people of Māori and Pacific Island descent, and in those with lower educational attainment or socioeconomic status. It is therefore important that stroke awareness campaigns include tailored components for target audiences.

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“…Although functional recovery from stroke is improving, stroke continues to be the leading cause of adult disability [1,2]. In the United States, every year about 795,000 end up having a stroke and this costs the nation USD 38.6 billion [3].…”

Section: Introductionmentioning

confidence: 99%

Inflammatory Signaling in Post-Stroke Fatigue and Depression

et al. 2018

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Background: In the United States, stroke continues to be the cause for long-term disability. Of the patients with a first stroke, up to 75% will experience post-stroke fatigue (PSF) in the first year following stroke. PSF is one of the most disabling symptoms in stroke survivors; it decreases quality of life, increases mortality, and is a barrier to stroke rehabilitation. Given the incidence of stroke and the prevalence and detrimental impact of PSF on quality of life, independent living, and overall survival, efficient management of PSF must be a priority in stroke rehabilitation. The cause of PSF remains unknown. The burden of fatigue in stroke survivors is influenced by other stroke-related symptoms, most notably post-stroke depression (PSD). It is well known that stroke induces a systemic inflammatory response that is the trigger for sickness behavior, of which fatigue and depression are predominant symptoms. Summary: To date, only a handful of studies have sought to explore the relationship between stroke-induced inflammation and PSF and PSD. In this review, we describe this evidence, highlight the strengths and weaknesses of these existing studies, and suggest further experiments that may further support the association between stroke-related inflammatory processes and stroke-related symptoms. Key Messages: The current concept and further research are important for a more specific therapeutic intervention for PSF and PSD.

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A Literature Review of Indirect Costs Associated with Stroke

Cited by 71 publications

References 39 publications

Use of Stroke-Related Income Supplements and Predictors of Use in a Working-Aged Finnish Ischemic Stroke Cohort

Use of Stroke-Related Income Supplements and Predictors of Use in a Working-Aged Finnish Ischemic Stroke Cohort

Stroke Awareness and Knowledge in an Urban New Zealand Population

Inflammatory Signaling in Post-Stroke Fatigue and Depression

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