Prediction of Length of Stay of First-Ever Ischemic Stroke

Chang, Ku‐Chou; Tseng, Mei‐Chiun; Weng, Hsu–Huei; Lin, Yin-Hui; Liou, Chia‐Wei; Tan, Teng‐Yeow

doi:10.1161/01.str.0000034396.68980.39

Cited by 163 publications

(172 citation statements)

References 23 publications

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“…A related study revealed that smoking significantly decreased LOS by approximately 1.2 days. 1 We do not know the extent to which the change of significant association was attributed to sex or other suppresser variables or if it was primarily due to these study data.…”

Section: Discussionmentioning

confidence: 87%

“…1 Patients who received acute thrombolytic therapy were excluded. In this study costs were hospital charges because real costs were not available.…”

Section: Methodsmentioning

confidence: 99%

“…The rest, including charges for emergency services, laboratory workup, at least 1 brain image, and pharmaceuticals, were Charge data came from the discharge database of the hospital; others were prospectively collected at admission. Prespecified independent variables included age (Յ65 versus Ͼ65 years), sex, comorbidity, smoking, congestive heart failure, valvular heart disease, atrial fibrillation, history of cardiac disease, 1 National Institutes of Health Stroke Scale (NIHSS) score, modified Barthel Index (MBI) score (0 to 11 versus 12 to 20; 20ϭnormal), hours after onset (Ͻ24 hours or not), stroke subtype (small-vessel occlusion or not), 1 intensive care unit admission, and discharge destination (with home or others the reference group). Patients with initial NIHSS score of 0 to 6, 7 to 15, and 16 to 38 were categorized as having mild, moderate, and severe stroke, respectively.…”

Section: Methodsmentioning

confidence: 99%

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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: Discussionmentioning

confidence: 87%

“…1 Patients who received acute thrombolytic therapy were excluded. In this study costs were hospital charges because real costs were not available.…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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

Chang

Tseng

2003

Stroke

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“…However, the classification of stroke types appears to be sufficiently accurate for use in epidemiological studies because CT and/or MRI are performed in almost all stroke patients. 27,28 Six air-quality monitoring stations were established in Kaohsiung by the Environmental Protection Administration. The monitoring stations are fully automated and provide readings of SO 2 , PM 10 , NO 2 , CO, and O 3 .…”

Section: Methodsmentioning

confidence: 99%

Evidence for an Association Between Air Pollution and Daily Stroke Admissions in Kaohsiung, Taiwan

Tsai

Goggins

Chiu

et al. 2003

Stroke

237

191

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Background and Purpose-Many studies have reported increases in daily cardiovascular mortality and hospital admissions associated with increases in levels of air pollutants. However, little is known about the relationship between hospital admissions for stroke and air pollution. This study was undertaken to determine whether there is an association between air pollution and hospital admissions for stroke in Kaohsiung, Taiwan. Methods-Data on a total of 23 179 stroke admissions were obtained for the period 1997 through 2000. The relative risk of hospital admissions was estimated with a case-crossover approach. Results-In the single-pollutant models, on warm days (Ն20°C), significant positive associations were found between levels of PM 10 , NO 2 , SO 2 , CO, and O 3 and both primary intracerebral hemorrhage and ischemic stroke admissions. On cool days (Ͻ20°C), only CO levels and ischemic stroke admissions were significantly associated. For the 2-pollutant models, PM 10 and NO 2 remained consistently and significantly associated with admissions for both types of stroke on warm days. We observed estimated relative risks of 1.54 (95% confidence interval [95%], 1.31 to 1.81) and 1.56 (95% CI, 1.32 to 1.84) for primary intracerebral hemorrhage for each interquartile range increase in PM 10 and NO 2 . The values for ischemic stroke were 1.46 (95% CI, 1.32 to 1.61) and 1.55 (95% CI, 1.40 to 1.71), respectively. The effects of CO, SO 2 , and O 3 were mostly nonsignificant when either NO 2 or PM 10 was controlled for. Conclusions-This study provides an association between exposure to air pollution and hospital admissions for stroke.

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“…Menurut pernyataan kebijakan American Heart Association, biaya penatalaksaan stroke akan meningkat dua kali lipat pada tahun 2030, dan insidensi kejadian stroke akan meningkat pada penduduk Amerika yang berusia 45-64 tahun. Peningkatan ini terjadi karena beberapa alasan diantaranya biaya untuk penatalaksanaan stroke di AS yang meningkat di tahun 2010 dari $71.55 miliar dollar menjadi $183.13 milyar dollar, biaya akibat hilangnya produktivitas meningkat $33.65 miliar dollar menjadi $56.54 miliar dollar setiap tahunnya, peningkatan prevalensi penduduk AS yang terkena stroke sebesar 5.1% 3 . Stroke juga menduduki angka kematian tertinggi di Indonesia menurut Riskesdas 2013.…”

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Comparison of Real Costs against the Price of INA-CBG's Ischemic Stroke in Bethesda Hospital

Muslimah

Andayani

Pinzon

et al. 2017

J. Manaj. dan Pelayanan Farm.

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Stroke is the leading cause of death and disability that includes disability mild, moderate and severe need of maintenance costs high. The purpose of this research is to know the characteristics of the patient, the comparison of real costs and fares INA CBG's ischemic stroke inpatient and outpatient in Bethesda HOSPITAL Yogyakarta. This research was conducted with observational analytic approach with cross sectional design based on the perspective of the hospital. The subject of research that meets the criteria of inclusion as much as 96 patients. Criteria for Inclusion include patient JKN, ischemic stroke of the first offensive, onset of less than 24 hours and non of the references. Observation period 1 October 2015 sd 31 March 2016 inpatients were observed 6 months in retrospective. Secondary data research data are sourced on the medical record, IFRS, and Technology Unit of RS. Analysis of statistical data by the method of Mann Whitney and Kruskal Wallis. Based on the characteristics of long hospitalizations, inpatient class there is significant influence (p < 0.05) against ischemic stroke patients real costs of hospitalization. The total real costs RS ischemic stroke of Rp 993,181,170 to 96 111 patients with inpatient visits so that the cost of Rp 8,947,578 per episode of hospitalization. Furthermore the Total cost of stroke ischemic amounting to Rp 139,165,150 with 211 outpatient visits so that the cost of Rp 659,550 per an outpatient episode. Real costs RS ischemic stroke than outpatient rates INA CBG's-2014 have significant differences. Similarly the real costs of hospitalization compared to price of INA-CBG's 2014 have significant differences in class i. In conclusion Fund fares INA-CBG's either outpatient or inpatient insufficient finance the care of patients ischemic stroke in Bethesda hospital Yogyakarta.

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Prediction of Length of Stay of First-Ever Ischemic Stroke

Abstract: The severity of stroke, as rated by the total score on NIHSS, is an important factor that influences LOS after acute stroke hospitalization.

Cited by 163 publications

References 23 publications

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

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

Evidence for an Association Between Air Pollution and Daily Stroke Admissions in Kaohsiung, Taiwan

Comparison of Real Costs against the Price of INA-CBG's Ischemic Stroke in Bethesda Hospital

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