A Population-Based Study of Hospital Care Costs During 5 Years After Transient Ischemic Attack and Stroke

Abstract

Background and Purpose-Few studies have evaluated long-term costs after stroke onset, with almost no cost data for transient ischemic attack (TIA). We studied hospital costs during the 5 years after TIA or stroke in a population-based study. 595), with more than half of costs ($12 972) being incurred in the first year after the event. After index TIA, the mean censor-adjusted 5-year costs were $18 091 (95% confidence interval, 15 947-20 258). A multivariate analysis showed that event severity, recurrent stroke, and coronary events after the index event were independent predictors of 5-year costs. Differences by stroke subtype were mostly explained by stroke severity and subsequent events. Conclusions-Long-term hospital costs after TIA and stroke are considerable, but they are mainly incurred during the first year after the index event. Event severity and experiencing subsequent stroke and coronary events after the index event accounted for much of the increase in costs. Methods-Patients

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