Early rehabilitation after stroke in comprehensive cerebrovascular centres in the Czech Republic: a comparison of three stroke units

Kratochvílová, Anna; Rogalewicz, Vladimír; Angerová, Yvona; Gueye, Tereza; Maršálek, Pavel; Chmelová, Irina; Barták, Miroslav

doi:10.32725/kont.2021.013

Cited by 1 publication

(2 citation statements)

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“…The differences in the average one-day costs were caused by particular hospital treatment procedures and managerial processes. However, all these differences appeared to be quite complex and non-trivial, and thus they were thoroughly analysed in a separate paper (31).…”

Section: Discussionmentioning

confidence: 99%

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Cost analysis of early rehabilitation after stroke in comprehensive cerebrovascular centres in the Czech Republic

Angerová¹,

Maršálek²,

Chmelová³

et al. 2021

Cent Eur J Public Health

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Objectives: The paper analyses real-world data on cost of treatment in patients after stroke hospitalized in early rehabilitation units within comprehensive stroke centres in the Czech Republic. This is the first study of the kind in the Czech Republic, while such information is extremely rare worldwide. Stroke treatment witnessed a dramatic development in the last years, when the main progress was due to establishment of specialized (comprehensive) stroke units incorporating also early rehabilitation. There is a general agreement among clinicians that early rehabilitation is beneficial for patients after stroke.Methods: Costs of early rehabilitation after stroke were calculated by the micro-costing method alongside a pragmatic study in three Czech hospitals. Patients were transferred to specialized early rehabilitation units usually on 7th to 14th day after stroke onset and received four hours of interprofessional rehabilitation per day.Results: The analysis of data collected during the prospective observational research of 87 patients proved significant differences between patients. The average costs of hospitalization were determined to be CZK 5,104 (EUR 194) per one day of intensive rehabilitation in seriously affected patients early after stroke. These costs differed significantly between hospitals (p-value < 0.001); the structure of direct costs was quite stable, though. About 60% of these costs were due to nursing and overhead, while no more than 15% were consumed by therapists.Conclusions: The treatment of patients after stroke in specialized stroke units proved to be beneficial for the patients increasing the number of those re-integrated in family and community life.

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Section: Discussionmentioning

confidence: 99%

“…However, the sample variability allowed for an estimation of average costs of early rehabilitation in patients after stroke, which was the main goal of this study. Other limitations that might have affected the analysis of clinical outcomes and comparison of the involved stroke centres were included in the respective publications (30,31).…”

Section: Discussionmentioning

confidence: 99%