2017-2020年泰国中风资源利用和全因死亡率:2017-2020年泰国中风资源利用和全因死亡率:2017-2020年泰国中风资源利用和全因死亡率:2017-2020年泰国中风资源利用和全因死亡率:2020年泰国中风资源利用和全因死
Suthasinee Kumluang1,2, Olivia Wu3, Peter Langhorne4
1Health Economics and Health Technology Assessment (HEHTA), School of Health and Wellbeing, University of Glasgow, Glasgow, UK 2425416k@student.gla.ac.uk.
BMJ open
|June 6, 2023
概括
泰国的中风治疗费用昂贵,出血性中风患者的费用最高. 康复大大降低了中风成本和死亡风险,突出了它对更好的健康结果和资源效率的重要性.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 神经学 神经学
背景情况:
- 脑卒中在全球和泰国是一个重大的公共卫生挑战.
- 了解与中风相关的经济负担和生存结果对于资源分配至关重要.
研究的目的:
- 确定与泰国中风相关的资源利用,医疗保健成本和全因死亡率.
- 确定关键的成本驱动因素和影响中风患者死亡率的因素.
主要方法:
- 使用泰国国家索赔数据库 (2017-2020年) 进行了一项回顾性,横截面研究.
- 分析包括386,484名首次中风患者.
- 估计使用两部分模型的年度治疗费用,并对所有死因进行了生存分析.
主要成果:
- 每名中风患者的平均年费用为37179泰.
- 出血性中风与最高的成本,更长的住院时间 (LOS) 和增加的死亡风险有关.
- 康复与成本降低和死亡率降低有关,尽管只有32%的患者接受了康复. 关键的成本驱动因素包括年龄,LOS,并发症和血栓溶解.
结论:
- 出血性中风造成的经济负担最高.
- 康复与提高成本效益和降低死亡率有关,这强调了其在中风护理中的价值.
- 改善康复的获取和结果对于改善泰国患者健康和优化资源利用至关重要.
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