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Direct costs during the first year after intracerebral hemorrhage
Insights
The first year after intracerebral hemorrhage costs an average of 123,200 DKK, with hospital stays accounting for most expenses. Resource use and costs varied, but age-related differences diminished when considering survival rates.
Area of Science:
- Health Economics
- Neurology
- Public Health
Background:
- Limited data exists on the comprehensive costs of intracerebral hemorrhage (ICH) care.
- Understanding resource utilization is crucial for healthcare planning and patient management.
Purpose of the Study:
- To quantify the total resource use and associated costs during the first year post-ICH.
- To analyze cost variations based on patient demographics, specifically age.
Main Methods:
- A prospective study of 90 ICH patients admitted to a university hospital in Copenhagen.
- Data collection included resource use during hospitalization and follow-up for one year.
- Cost calculations were performed based on collected resource utilization data.
Main Results:
- The mean total cost for the first year after ICH was 123,200 DKK (US$22,000).
- Hospitalization, including acute care and rehabilitation, represented 73% of the total first-year cost (mean 90,200 DKK).
- Initial analysis showed costs decreased with age, but this association disappeared after accounting for case fatality rates.
Conclusions:
- The first-year cost of ICH treatment, care, and rehabilitation is substantial, averaging 123,200 DKK.
- Hospital care is the dominant cost driver, constituting the majority of expenditures.
- Age is not an independent predictor of cost when survival differences are considered.
Objectives:
Knowledge of resource use and associated costs of treatment, care and rehabilitation at hospitals and in the health care and social service sectors is limited. This study presents data on the total resource use during the first year after spontaneous intracerebral hemorrhage.
Methods:
All patients hospitalized because of stroke at a university hospital in Copenhagen, Denmark, during a 1-year period 1994-1995 were included in a database. The patients were followed until 1 year after the stroke, and data on resource use during and after the hospital stay were collected prospectively. This study investigates a subgroup comprising 90 patients with intracerebral hemorrhage. Resource use is described and costs are calculated.
Results:
The cost of the hospital stay including acute care and rehabilitation had a mean of 90200 DKK (US$16100). The total cost of health care and social services during the first year had a mean of 123200 DKK (US$22000). Costs decreased significantly with age, but when differences of 30 days case fatality between age groups were considered, the association between costs and age disappeared.
Conclusions:
The mean cost of treatment, care and rehabilitation during the first year after intracerebral hemorrhage was 123200 DKK, of which the primary hospital stay constituted 73%.