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Cost and Outcome in Pediatric Ischemic Stroke

William Hamilton1, Haijuan Huang2, Eric Seiber3

  • 1Department of Pediatrics, The Ohio State University and Nationwide Children's Hospital, Columbus, OH, USA.

Journal of Child Neurology
|February 10, 2015
PubMed

Insights

Childhood stroke costs vary significantly by type and cause. Associated diseases and stroke type impact expenses, with higher costs linked to worse patient outcomes and quality of life.

Area of Science:

  • Pediatric Neurology
  • Health Economics

Background:

  • Childhood stroke costs are often overlooked.
  • Understanding cost drivers is crucial for resource allocation and patient care.

Purpose of the Study:

  • To investigate factors influencing the cost of pediatric stroke.
  • To determine if stroke type, associated conditions, or age at onset affect healthcare costs and patient outcomes.

Main Methods:

  • Retrospective review of 111 pediatric stroke cases (arterial ischemic stroke or sinovenous thrombosis) from 2005-2010.
  • Cost analysis for the year following stroke.
  • Outcome assessment using the Recovery and Recurrence Questionnaire and Pediatric Quality of Life Inventory for 46 patients.

Main Results:

  • Neonatal strokes were less costly than childhood strokes.
  • Strokes associated with congenital heart disease or vasculopathy incurred the highest costs.
  • Perinatal or idiopathic strokes were the least expensive.
  • Increased healthcare costs correlated with greater impairment and reduced quality of life.

Conclusions:

  • Stroke etiology is a significant determinant of pediatric stroke costs.
  • Cost-benefit analyses for pediatric stroke must account for the specific cause of the stroke.
  • Findings highlight the economic burden of pediatric stroke and the need for etiology-specific cost considerations.

Keywords:
childcostischemic strokeoutcomespediatric

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