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Updated: May 22, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Cost avoidance associated with optimal stroke care in Canada.

Hans Krueger¹, Patrice Lindsay, Robert Cote

¹School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada. hans@krueger.ca

|May 26, 2012

Summary

Implementing evidence-based stroke care in Canada can significantly improve patient outcomes and reduce healthcare costs. Optimal stroke management could save $682 million annually by decreasing hospitalizations and improving quality of life.

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Area of Science:

Health Services Research
Public Health
Stroke Medicine

Background:

Evidence-based stroke care improves patient outcomes and offers potential health system cost savings.
Cost savings associated with optimal stroke care are not well-quantified.
This study evaluates four key aspects of stroke management in Canada.

Purpose of the Study:

To assess the current provision of four critical stroke care components in Canada.
To estimate the potential cost avoidance achievable through comprehensive stroke care implementation.
To quantify the impact of optimal stroke care on patient outcomes and healthcare expenditures.

Main Methods:

Utilized data from the Canadian Institute of Health Information Discharge Abstract Database, National Stroke Audit, and British Columbia's Acute Cerebrovascular Syndrome Registry.
Reviewed existing literature to estimate the effects of optimal stroke care on hospitalization rates, length of stay, discharge status, quality of life, and cost savings.
Assessed four key areas: rapid assessment/treatment, thrombolytic therapy, stroke units, and early supported discharge.

Main Results:

Comprehensive stroke care could reduce annual hospital episodes by 3.3% (1062 cases) and acute care days by 25.9% (166,000 days).
Residential care days could decrease by 12.8% (573,000 days), and in-hospital deaths by 14.9% (1061 cases).
Estimated total annual cost avoidance is $682 million ($307.4 million direct, $374.3 million indirect costs).

Conclusions:

Substantial cost reductions in Canadian stroke care are achievable.
Improved patient outcomes accompany these cost savings.
Increased utilization of proven effective stroke treatment modalities is recommended.