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Updated: May 26, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
[Comparision of costs of secondary prevention and treatment of stroke--cost-effectiveness analysis]
1Zavod za javno zdravstvo Bjelovarsko-bilogorske zupanije, Bjelovar. iceronja@gmail.com
Insights
Secondary prevention of cerebrovascular accident (CVA) is cost-effective. Treating hypertension prevents costly CVAs, improving patient quality of life and long-term outcomes.
Area of Science:
- Cardiovascular Medicine
- Public Health
- Health Economics
Background:
- Untreated arterial hypertension is a significant risk factor for cerebrovascular accident (CVA).
- Economic evaluation of healthcare interventions is crucial for resource allocation.
Purpose of the Study:
- To compare the cost-effectiveness of secondary prevention strategies for CVA in patients with untreated arterial hypertension versus direct CVA treatment.
- To analyze the long-term economic impact of hypertension management on CVA incidence.
Main Methods:
- Cost-effectiveness analysis was employed.
- Diagnosis and therapy costs for arterial hypertension were compared against CVA treatment costs.
Main Results:
- The 30-year cost of secondary CVA prevention per patient was 15,107.75 kunas, factoring in a discount.
- A single CVA treatment averaged 17,207.54 kunas.
- Preventing one CVA through hypertension treatment (NNT=850) incurred a cost of 1,350,811.5 kunas, exceeding the cost of a single CVA treatment.
Conclusions:
- Secondary prevention of CVA offers long-term patient benefits, including improved quality of life and reduced disability.
- Primary and secondary prevention of hypertension provide greater overall advantages for patient well-being compared to treating established CVA.
Unlabelled:
Cerebrovascular accident (CVA) is a serious complication of untreated arterial hypertension.
Introduction:
The aim of this paper is to compare the cost of secondary prevention and treatment of CVA caused by untreated arterial hypertension.
Methods:
Cost-effectiveness analysis of diagnosis and therapy of arterial hypertension in comparison with CVA treatment.
Results:
The cost of secondary prevention of CVA per patient per year in 2006. was 1.589,19 kunas, which comes to 15.107,75 kunas in thirty years of treatment (discount factor included), whereas a single CVA treatment was 17.207,54 kunas on average. In every 850 treatments of hypertension (NNT) comes a prevented CVA which is 1.350.811,5 kunas, and is therefore more expensive than a single CVA treatment.
Conclusion:
Secondary prevention has a long-term protective effect improving the patients' quality of life, inhibiting the potential post-CVA handicap and pre-retirement. Thus, the main advantage of both primary and secondary prevention is in their greater benefit for patients.
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