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Economic Burden of Individual Suffering from Atrial Fibrillation-Related Stroke in China

Shanlian Hu1, Lin Zhan2, Bao Liu3

  • 1Shanghai Health Development Research Center, Shanghai, PR China; School of Public Health, Fudan University, Shanghai, PR China.

Value in Health Regional Issues
|April 29, 2018
PubMed

Insights

The 1-year cost of stroke in Chinese patients with atrial fibrillation (AF) is substantial, driven mainly by hospitalization expenses. Optimal management of AF is crucial for preventing costly strokes.

Area of Science:

  • Cardiovascular Medicine
  • Neurology
  • Health Economics

Background:

  • Atrial fibrillation (AF) is a significant risk factor for ischemic stroke.
  • Understanding the economic burden of AF-related stroke is crucial for healthcare planning in China.

Purpose of the Study:

  • To estimate the 1-year direct and indirect costs of ischemic stroke in Chinese patients diagnosed with atrial fibrillation.

Main Methods:

  • A retrospective chart review of 300 patients with ischemic stroke and AF from 18 hospitals across six Chinese cities.
  • Prospective 1-year follow-up of 63 selected patients to record resource utilization and work absenteeism.

Main Results:

  • The mean total direct cost was 30,438.3 CNY per patient-year, with acute hospitalization being the primary cost driver (61.5%).
  • Indirect costs, mainly from early retirement, averaged 16,838.9 CNY per person-year for those under retirement age.
  • Factors like higher hospital ranking, longer stay, stroke severity, surgery, thrombolysis, and complications increased inpatient costs.

Conclusions:

  • Hospitalization costs significantly contribute to the total direct cost of AF-related stroke in China, reflecting the current hospital-centered care model.
  • AF-induced strokes are largely preventable, underscoring the need for improved clinical management and stroke prevention strategies in AF patients.
Abstract

Keywords:
atrial fibrillationcost of illnessischemic stroke

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