Economic burden of stroke

İçağasıoğlu, Afitap; Baklacioglu, Hatice Sule; Mesci, Erkan; Yumuşakhuylu, Yasemin; Murat, Sadiye; Mesci, Nilgün

doi:10.5606/tftrd.2017.183

Cited by 13 publications

(16 citation statements)

References 14 publications

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“…Afitap et al estimated that the indirect costs of lost productivity due to stroke in Turkey were US$4,068.30 (standard deviation US$4,432.86) [13]. These results are still higher than ours although their sample size is quite close to that of our study (84 patients).…”

Section: The Direct and Indirect Financial Burdencontrasting

confidence: 50%

Psychosocial and Economic Evaluation of Stroke Management in the Elderly: A Prospective Study at the Neurology Department in a Hospital in Dakar, Senegal

Tacko¹,

Gueye²,

Massamba³

et al. 2021

HEP

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Stroke is the second leading cause of death worldwide and the leading cause of physical disability in the elderly.The objective of the study was to evaluate the psychosocial and economic aspects of its management. We conducted a crosssectional, descriptive and evaluative study at the neuroscience clinic of FANN National University Hospital from May 8 to August 8, 2019. It involved 60 people aged 60 years and over received in consultation as well as 59 family caregivers who gave their consent. The caregivers' suffering was evaluated using the MINI ZARIT grid consisting of 5 items for a total score ranging from 0 to 7. The psychological impact of the disease was evaluated by the Geriatric Depression Scale in its short version (GDS); composed of 15 items scored from 0 to 1. The direct and indirect financial cost was evaluated on two items: The estimated financial loss associated with the work stoppage estimated by the daily earnings of the primary caregiver. Travel costs related to transportation from home to the neurovascular consultation unit. The mean age of our patients was 71.46 years (standard deviation 7.79 years). Females predominated with a sex ratio of 0.71. Most of our patients were polygamous (38.30%), followed by widowers (35%). Most of the patients had attended Koranic school (38.30%) and 31.70% were illiterate. They were unemployed for 55%. Caregiver burden was absent to mild in 32.20%, mild to moderate in 45.80% and moderate to severe in 22%. Signs of depression were present in 10% of patients, the 30% had a high probability of depression while 60% of patients had no depression. The average length of time the main caregiver was off work was 23.86 days (standard deviation 64.53 days). The average cost of financial losses related to this work stoppage was 200.38 USD (standard deviation 564.72 USD). The average cost of travel was $139.24 (SD $321.03). The average total cost was $339.62 (SD $650.97). The indirect cost of stroke remains quite high and represents a heavy burden for a population where the majority is unemployed, so it is important to propose a psychological support program more adapted to the Senegalese population. The establishment of lowcost home help services and a training program in neuropsychology for clinicians will be useful.

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Section: The Direct and Indirect Financial Burdencontrasting

confidence: 50%

Psychosocial and Economic Evaluation of Stroke Management in the Elderly: A Prospective Study at the Neurology Department in a Hospital in Dakar, Senegal

Tacko¹,

Gueye²,

Massamba³

et al. 2021

HEP

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“…The characteristics of the included studies are made to determine the study design, study scope, economic perspective, and the types of diseases required in the systematic review. Furthermore, from the included studies, 13 articles (100%) were studies on types of stroke [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 ]. Three types of study designs included a prospective cost study of five articles (38%) [ 15 , 22 , 23 , 24 , 26 ], a retrospective cost study of six articles (46%) [ 15 , 16 , 18 , 20 , 24 , 26 ], and a cross-sectional study of two articles (15%) [ 18 , 20 ].…”

Section: Resultsmentioning

confidence: 99%

Economic Burden of Stroke Disease: A Systematic Review

Rochmah

Rahmawati

Dahlui

et al. 2021

IJERPH

116

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Globally, one of the main causes of non-communicable disease as a cause of death every year is stroke. The objective of this study was to analyze the burden in consequence of stroke. This research used a systematic review method. Furthermore, a search for articles was carried out in June–July 2020. Four databases were used to search articles from 2015 to 2020. Eligible studies were identified, analyzed, and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The inclusion criteria were prospective cost studies, retrospective cost studies, database analysis, mathematical models, surveys, and COI studies that assess burden of stroke in primary and referral healthcare (hospital-based). The results showed that from four databases, 9270 articles were obtained, and 13 articles were qualified. A total of 9270 articles had the identified search keywords, but only 13 articles met the set criteria for inclusion. The criteria for inclusion were stroke patients, the economic burden of stroke disease based on cost of illness method, which is approximately equal to USD 1809.51–325,108.84 (direct costs 86.2%, and indirect costs 13.8%). Those that used the health expenditure method did not present the total cost; instead, only either direct or indirect cost of health expenditure were reported. For most hospital admissions due to stroke, LOS (length of stay) was the dominant cost. The high economic burden to manage stroke justifies the promotion and preventive efforts by the policymakers and motivates the practice of healthy lifestyles by the people.

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“…The reperfusion therapy, the investigation of the etiological mechanism, the secondary prevention therapy and early rehabilitation could significantly improve the outcome 4-5 . Otherwise, the occurrence of clinical and neurological complications during hospital stay could influence negatively the patient outcome, delaying discharge 6 and increasing hospital costs 7 and intra-hospital mortality rates 8 .…”

Section: Introductionmentioning

confidence: 99%

Preditores de internação prolongada em Unidade de Acidente Vascular Cerebral (AVC)

Gaspari

Cruz

Batista³

et al. 2019

Rev. Latino-Am. Enfermagem

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Objective to analyze the in-hospital complications of prolonged hospital stay in patients with ischemic stroke or transient ischemic attack, admitted to the stroke unit of a tertiary hospital.Method this is an evaluative correlational study. All first-ever ischemic stroke or transient ischemic attack patients admitted were retrospectively analyzed. During hospital stay, the predictors of long-term hospitalization considered were: 1) clinical complications (pneumonia, urinary tract infection, pressure damage and deep vein thrombosis), and 2) neurological complications (malignant ischemic stroke and symptomatic hemorrhagic transformation).Results 353 patients were discharged in the study period. Mean age was 64.1±13.7 years old and 186 (52.6%) were men. The mean time of hospital stay was 13.7±14.3 days. Pneumonia (25.3±28.8 days, p<0.001), urinary tract infection (32.9±45.2 days, p<0.001) and malignant stroke (29.1±21.4 days, p<0.001) increased significantly the length of hospital stay compared to patients without any complications (11.2±7.1 days).Conclusion this study showed that three complications delayed hospital discharge in patients admitted in a stroke unit, two preventable ones: pneumonia and urinary tract infection. More intense measures to avoid them should be included in the performance indicators to reduce the length of hospital stay in stroke units.

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Economic burden of stroke

Cited by 13 publications

References 14 publications

Psychosocial and Economic Evaluation of Stroke Management in the Elderly: A Prospective Study at the Neurology Department in a Hospital in Dakar, Senegal

Psychosocial and Economic Evaluation of Stroke Management in the Elderly: A Prospective Study at the Neurology Department in a Hospital in Dakar, Senegal

Economic Burden of Stroke Disease: A Systematic Review

Preditores de internação prolongada em Unidade de Acidente Vascular Cerebral (AVC)

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