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Acute pediatric stroke: contributors to institutional cost

Colin M Turney1, Wei Wang, Eric Seiber

  • 1Division of Neurology, Nationwide Children's Hospital, Columbus, OH, USA.

Stroke
|August 27, 2011
PubMed

Insights

Pediatric stroke care costs are detailed, with nursing and imaging as primary drivers. Hemorrhagic strokes incur higher hospital costs than ischemic strokes.

Area of Science:

  • Pediatric Neurology
  • Healthcare Economics
  • Hospital Administration

Background:

  • Limited data exists on the specific cost sources for pediatric stroke care.
  • Previous research focused on overall costs, not granular expense breakdowns.

Purpose of the Study:

  • To identify and rank the sources of acute hospital care costs for pediatric stroke.
  • To analyze cost differences between hemorrhagic and ischemic pediatric strokes.

Main Methods:

  • Utilized the Pediatric Health Information System administrative database (2003-2009).
  • Analyzed 1667 pediatric stroke cases, categorizing costs into 7 groups.
  • Adjusted total costs for inflation using the US Consumer Price Index.

Main Results:

  • Median total cost for pediatric stroke was $19,548.
  • "Other/nursing" was the highest cost category, followed by imaging, laboratory, and pharmacy.
  • Hemorrhagic strokes ($24,843) were more costly than ischemic strokes ($16,954).

Conclusions:

  • This study provides the first in-depth cost analysis for pediatric stroke care.
  • Nursing and imaging costs are key areas for potential cost containment strategies.
  • Optimizing imaging use and length of inpatient stays may reduce overall costs.
Abstract

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