Inpatient costs, length of stay, and mortality for cerebrovascular events in community hospitals

Reed, Shelby D.; Blough, Dave K; Meyer, Kerry; Jarvik, Jeffrey G.

doi:10.1212/wnl.57.2.305

Cited by 140 publications

(144 citation statements)

References 39 publications

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“…We also recognize the limitations of using hospital charges to conduct this study. 5,6 Costs found in this study are much lower than in other studies when it is considered that rehabilitation therapy was initiated immediately. 2,5,7 However, direct comparisons with other studies are problematic because of different practice patterns.…”

Section: Discussioncontrasting

confidence: 57%

Costs of Acute Care of First-Ever Ischemic Stroke in Taiwan

Chang

Tseng

2003

Stroke

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Background and Purpose-We sought to investigate the direct costs of acute hospitalization for patients with first-ever ischemic stroke in Taiwan. Methods-Data were prospectively collected from 360 first-ever ischemic stroke patients. Hospital charges were used for analysis. Multiple linear regression analysis was used to identify the main factors influencing costs. Results-Mean age was 64.9 years (median, 67.0 years), and 58% were male. Mean National Institutes of Health Stroke Scale (NIHSS) score at admission was 9.4 (median, 6.0

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Section: Discussioncontrasting

confidence: 57%

Costs of Acute Care of First-Ever Ischemic Stroke in Taiwan

Chang

Tseng

2003

Stroke

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“…Hospitalized patients with hemorrhagic strokes are known to have higher 30-day mortality rates compared to patients with ischemic stroke (as high as 40% versus up to 15%). 10 Therefore, hemorrhagic stroke patients likely have a greater acute palliative care and end-of-life needs than patients with ischemic stroke.…”

Section: Figmentioning

confidence: 99%

Palliative Care Consultations in Hospitalized Stroke Patients

Holloway

Ladwig

Robb

et al. 2010

Journal of Palliative Medicine

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Objective: To determine the pattern and characteristics of palliative care (PC) consultations in patients with stroke and compare them with the characteristics of nonstroke consultations. Methods: The palliative care program at Strong Memorial Hospital (SMH) was established in October 2001. SMH is a 765-bed academic medical center with approximately 38,000 discharges. For each consult from 2005 to 2007, we collected demographic, clinical, and service-related information. We explored similarities and differences in patients with different types of stroke, including patients with ischemic stroke, intracerebral hemorrhage, subarachnoid hemorrhage, and subdural hematoma. In addition, we compared these data to the nonstroke patients who had a palliative care consultation during the same time period. Results: Over the 3-year period from 2005 to 2007, there were a total of 101 consultations in patients with stroke (6.3% of all PC consultations). Of the 101 consultations, 31 were in patients with ischemic stroke, 26 in patients with intracerebral hemorrhage, 30 in patients with subarachnoid hemorrhage, and 14 in patients with subdural hematoma. Patients with stroke who had a PC consult were more functionally impaired, less likely to have capacity, more likely to die in the hospital, and to have fewer traditional symptom burdens than other common diagnoses seen on the PC consultation service. The most common trajectory to death was withdrawal of mechanical ventilation, but varied by type of stroke. Common treatments negotiated in these consultations included mechanical ventilation, artificial nutrition, tracheostomy, and less likely antibiobics, intravenous fluids, and various neurosurgical procedures. Conclusions: Patients with stroke are a common diagnosis seen on an inpatient palliative care consult service. Each stroke type represents patients with potentially distinct palliative care needs.

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“…Stroke is responsible for significant healthcare costs and it is a social burden in Western societies [1][2][3] . Embolism is the most common cause of stroke, with carotid artery atherosclerotic plaques responsible for one in three embolic strokes.…”

Section: Introductionmentioning

confidence: 99%

Stratifying risk: asymptomatic carotid disease

et al. 2012

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Stroke generates significant healthcare expenses and it is also a social and economic burden. The carotid artery atherosclerotic plaque instability is responsible for a third of all embolic strokes. The degree of stenosis has been deliberately used to justify carotid artery interventions in thousands of patients worldwide. However, the annual risk of stroke in asymptomatic carotid artery disease is low. Plaque morphology and its kinetics have gained ground to explain cerebrovascular and retinal embolic events. This review provides the readers with an insightful and critical analysis of the risk stratification of asymptomatic carotid artery disease in order to assist in selecting potential candidates for a carotid intervention.

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Inpatient costs, length of stay, and mortality for cerebrovascular events in community hospitals

Abstract: Inpatient costs, LOS, and mortality for patients with cerebrovascular disease are dependent on patient and hospital characteristics.

Cited by 140 publications

References 39 publications

Costs of Acute Care of First-Ever Ischemic Stroke in Taiwan

Costs of Acute Care of First-Ever Ischemic Stroke in Taiwan

Palliative Care Consultations in Hospitalized Stroke Patients

Stratifying risk: asymptomatic carotid disease

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