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[The cost of cerebrovascular accident]
J M Beguiristain1, J Mar, A Arrazola
1Servicio del Plan de Salud, Dirección Territorial de Sanidad de Guipuzkoa, San Sebastian, Spain. jbeguiristain-san@ej-gv.es
Insights
Cerebrovascular accident (CVA) incurs significant societal costs, primarily due to long-term disability. This study estimates the economic burden of CVA in the Basque Country, highlighting the substantial impact of state costs on overall expenditure.
Area of Science:
- Public Health
- Health Economics
- Epidemiology
Background:
- Cerebrovascular accident (CVA) affects one in three individuals, leading to death, disability, or recovery.
- Understanding the economic impact of CVA is crucial for resource allocation and healthcare planning.
Purpose of the Study:
- To estimate the total societal costs associated with cerebrovascular accident (CVA) in the Basque Country.
- To differentiate between transition and state costs related to CVA.
Main Methods:
- A cost-of-illness study was conducted from a societal perspective.
- Prevalence-based approach utilizing data from a randomized sample of stroke patients admitted in 2000, followed for 12 months.
- Separate analysis of one-time transition costs and lifetime state costs.
Main Results:
- The prevalence of CVA was 1.780 x 10^5.
- Average transition cost per patient was €4,762; average state cost was €10,506 per patient/year.
- Total estimated CVA cost for the Basque Country in 2000 was €120,249,986, with state costs accounting for €103,789,257.
Conclusions:
- Societal costs of CVA are substantial, with state costs (primarily due to disability) representing 74.3% of the total economic burden.
- The findings underscore the significant long-term economic impact of CVA, particularly related to disability management.
Introduction And Aim:
One out of three persons will die of cerebrovascular accident (CVA), another one will be disabled, and the third one will recover. This research has been taken to estimate the costs of CVA in the Basque Country.
Materials And Methods:
The cost of illness is studied from a societal perspective. It is based on the prevalence of the disease. Population costs has been estimated from the use of resources of a randomized sample of patients admitted to hospital with stroke during the year 2000, and followed for 12 months. Transitions costs (those that happen just once) and state costs (those remaining in patients lifetime) have been studied separately.
Results:
The prevalence of CVA was 1.780 x 10(5). Average transition cost per patient was 4,762 euros and average state cost for patient/year was 10,506 euros. The estimated cost for the Basque Country is 120,249,986 euros in the year 2000. Transition costs were 16,460,729 euros and state costs 103,789,257 euros in the same year. State costs were due to disability.
Conclusions:
The analysis of the costs of CVA from a societal perspective gets us to the heart of illness causing disability, the social costs of CVA are 74.3% of the total cost.
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