Factors associated with stroke direct cost in francophone West Africa, Benin example

Gnonlonfoun, Dieudonné; Adoukonou, Thierry; Adjien, Constant; Nkouei, Emma; Houinato, Dismand Stéphan; Avode, Dossou Gilbert; Preux, P.M.

doi:10.4236/wjns.2013.34039

Cited by 6 publications

(6 citation statements)

References 19 publications

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“…Benin is a French-speaking country in West Africa (Figure 1) bordered in the east by Nigeria. It boasts of 9 million inhabitants covering an area of 112.622 km 2 . The population subject to study consisted of patients suffering from stroke at least for the past 6 months.…”

Section: Methodsmentioning

confidence: 99%

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Stroke after Hospitalization: Assessment of Functional Prognosis through Disability and Dependency in CNHU-HKM, Cotonou, Benin

Gnonlonfoun¹,

Ossou-Nguıet²,

Diallo³

et al. 2014

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Introduction: Stroke results in severe disability, with impacts that are sometimes socially, emotionally or professionally dramatic and also dramatic for the cost involved in care and treatment. Objective: Assessing the functional prognosis after hospitalization and identifying associated factors. Method: It consisted in a cross-sectional, prospective, descriptive and analytical study that was conducted from April 1 to August 31, 2013 in the Neurology Department of CNHU-HKM in Cotonou. It involved 100 patients who have known stroke for at least 6 months and were all admitted and discharged later on. The disease survivors were re-contacted and examined again at home or at hospital. Disability and dependency were then measured respectively with the Rankin score and Barthel index. The STATA/IC11.0 statistical software was used as the basis for data analysis. Unvaried and multi-varied analyzes helped to identify associated factors. Results: The overall disability and dependency rates were respectively 69% and 57.7%. And the highest rate of disability (38.8%) was observed between 50 and 60 years old. However, dependency prevalence was higher in subjects above 70 years old (37.3%). Regarding gender, the prevalence of disability was 59.2% in men and rather 41.5% in women. Predictors of disability and dependency were paralysis on admission (IC95% = 0.26 [0.77-0.92]; p = 0.036), obesity (IC95% = 0.26 [0.77-0.92]; p = 0.012) and monthly income lower than 70$US (IC95% = 0.05 [0.01-0.56]; p = 0.015). Conclusion: This study enabled

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Section: Methodsmentioning

confidence: 99%

“…Stroke causes severe disability, with impacts that are sometimes socially, emotionally or professionally dramatic and also dramatic for the cost of care involved in care and treatment [1] [2]. The lost of independency with regard to hemiplegic patients is significant since 50% to 70% of stroke patients depending on a third party [3]- [5].…”

Section: Introductionmentioning

confidence: 99%

Stroke after Hospitalization: Assessment of Functional Prognosis through Disability and Dependency in CNHU-HKM, Cotonou, Benin

Gnonlonfoun¹,

Ossou-Nguıet²,

Diallo³

et al. 2014

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“…In their study, the median cost per patient was $841 and the median cost per day was $121. In the study by Gnonlonfoun et al 23 in Benin, a developing country, the average expenses were $1030.1±$101.7.…”

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confidence: 95%

“…Few studies have evaluated the cost of in-hospital stroke care in different populations with regional differences in total and itemized hospitalization costs. 12,[13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] As there could be regional and institutional variations in the in-hospital algorithms for stroke care percentage contribution of itemized hospitalization costs to the total hospitalization cost have varied among these studies. Neuroimaging is required for all stroke patients presenting in our hospital.…”

mentioning

confidence: 99%

“…Although a direct comparison is not possible due to varying degrees of heterogeneity of the studies, total and daily hospitalization costs of stroke in our study are lower than those reported in previous studies. [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] This may be attributable to differences in available medicare resources, unit cost of hospital charges, reimbursement systems and healthcare delivery utilization pattern in the different countries. The total and daily costs in Nigeria appear far less than those in these other places.…”

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confidence: 99%

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Cost burden of neuroimaging during one-time admission for first-ever acute stroke in Nigeria

Omisore

Komolafe

Esan

et al. 2018

NSJ

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‫في‬ ‫ودوره‬ ‫األعصاب‬ ‫تصوير‬ ‫تكلفة‬ ‫عبء‬ ‫لتحديد‬ ‫األهداف:‬ ‫سكتة‬ ‫ألول‬ ‫للدخول‬ ‫فترة‬ ‫ألول‬ )HCs( ‫للعالج‬ ‫املباشرة‬ ‫التكاليف‬ ‫اإلطالق.‬ ‫على‬ ‫دماغية‬ ‫املفصلة‬ ‫والتكاليف‬ ‫السريرية،‬ ‫اخلصائص‬ ‫من‬ ‫كال‬ ‫قيمت‬ ‫الطريقة:‬ ‫السكتة‬ ‫أول‬ ‫مع‬ ‫التوالي‬ ‫على‬ ‫مريض‬ 170 ‫لـ‬ HCs ‫ومجموع‬ ‫املباشرة‬ ‫لدينا‬ ‫العامة‬ ‫الصحة‬ ‫مرفق‬ ‫في‬ ‫ادخل‬ ، ‫مضى‬ ‫وقت‬ ‫أي‬ ‫من‬ ‫الدماغية‬ ‫شهرا.‬ 15 ‫مدى‬ ‫على‬ ‫الدماغية.‬ ‫بالسكتة‬ ‫مريض‬ 170 ‫سجالت‬ ‫استعراض‬ ‫مت‬ ‫النتائج:‬ ‫بالسكتة‬ ‫مريض‬ ‫لكل‬ ‫واحدة‬ ‫ملرة‬ ‫للقبول‬ HCs ‫مجموع‬ ‫متوسط‬ ‫كان‬ 15.86 ‫بلغت‬ ‫يومية‬ ‫متوسطة‬ ‫بتكلفة‬ ‫ا‬ ً ‫دوالر‬ 183.30$1 ‫الدماغية‬ ‫من‬ ‫األعلى‬ ‫اإلشعاعية‬ ‫لالختبارات‬ ‫التكلفة‬ ‫متوسط‬ ‫كانت‬ ‫ا.‬ ً ‫دوالر‬ ‫األقل‬ ‫على‬ ‫األعصاب‬ ‫تصوير‬ ‫شكل‬ ‫املصنفة.‬ ‫املستشفى‬ ‫تكاليف‬ ‫بني‬ . ‫اإلشعاعية‬ ‫االختبارات‬ ‫بني‬ ‫من‬ ‫املرضى‬ ‫على‬ ‫التكلفة‬ ‫من‬ 99% ‫تصوير‬ ‫سيما‬ ‫وال‬ ‫اإلشعاعية،‬ ‫لالختبارا‬ ‫املالية‬ ‫العبء‬ ‫أن‬ ‫اخلامتة:‬ ‫سكتة‬ ‫ألول‬ ‫األولى‬ ‫للمرة‬ ‫املرضى‬ ‫قبول‬ ‫أثناء‬ ‫مرتفع‬ ‫األعصاب،‬ ‫بيئتنا.‬ ‫في‬ ‫دماغية‬ Objectives:To determine the cost burden of Neuroimaging and its contribution to direct total hospitalization costs )HCs( during one-time admission for first-ever stroke. Methods:The clinical characteristics, direct itemised costs and total HCs for 170 consecutive patients with first-ever stroke, admitted at our public tertiary health facility over a 15-month period were evaluated. Results:The records of 170 stroke subjects were reviewed. The median total HCs for one-time admission per stroke patient was $183.30 with a median daily cost of $15.86. Median cost of radiological investigations was the highest among the categorized hospital costs. Among the radiological investigations, neuroimaging accounted for at least 99% of cost to patients. Conclusion:The financial burden of radiological investigations, particularly neuroimaging, is high during one-time admission of patients with first-ever stroke in our environment.

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Economic burden of stroke in a rural South African setting

Maredza

Chola

2016

eNeurologicalSci

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Background Stroke is the second leading cause of mortality and leading cause of disability in South Africa yet published data on the economic costs of stroke is lacking particularly in rural settings. Methods We estimate the total direct costs of stroke in 2012 from a health system perspective using a prevalence-based, bottom-up costing approach. Direct costs include diagnosis, inpatient and outpatient care. Analysis is based on the Agincourt health and socio-demographic surveillance system, which covers approximately 90,000 people. Published data from the SASPI study, Tintswalo Hospital Stroke register, and national cost databases were used. Sensitivity analysis was carried out to account for the variability in the data used. Results The total direct costs of stroke were estimated to be R2.5 - R4.2 million (US$283,500 – US$485,000) in 2012 or 1.6-3% of the sub-district health expenditure. Of this, 80% was attributed to inpatient costs. Total costs were most sensitive to the underlying incidence rates and to assumptions regarding service utilisation. Conclusions Our study provides a snapshot of costs incurred on stroke in rural South Africa. We show that stroke is a disease with high economic costs. Further studies that assess the lifetime costs of stroke are needed to better understand savings accrued from intervening at different stages of the disease.

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Factors associated with stroke direct cost in francophone West Africa, Benin example

Abstract: International audienc

Cited by 6 publications

References 19 publications

Stroke after Hospitalization: Assessment of Functional Prognosis through Disability and Dependency in CNHU-HKM, Cotonou, Benin

Stroke after Hospitalization: Assessment of Functional Prognosis through Disability and Dependency in CNHU-HKM, Cotonou, Benin

Cost burden of neuroimaging during one-time admission for first-ever acute stroke in Nigeria

Economic burden of stroke in a rural South African setting

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