中国缺血性中风的一年间的直接和间接成本
Wei Lv1,2, Anxin Wang1,2, Qianyi Wang3
1Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Stroke and vascular neurology
|October 3, 2023
概括
首次发生的缺血性中风给中国经济带来了巨大的负担,间接成本显著增加了一年的总支出. 这项研究强调了对患者和医疗保健系统的重大财务影响.
科学领域:
- 卫生经济学 卫生经济学
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 首次发生的缺血性中风在中国是一个重大的健康挑战.
- 估计经济负担,包括直接和间接成本,对于资源分配和政策制定至关重要.
- 这项研究提供了关于中国首次发生缺血性中风的一年成本的真实数据.
研究的目的:
- 估计在中国一年的随访期间,与首次缺血性中风相关的直接医疗,直接非医疗和间接成本.
- 确定影响缺血性中风经济负担的临床因素.
- 根据全国代表性样本提供全面的经济评估.
主要方法:
- 利用来自中国国家中风登记-III (CNSR-III) 的数据,这是一个具有全国代表性的数据库.
- 包括520名幸存的病人住院治疗首次缺血性中风 (2017年2月至2018年2月),年龄在18-80岁之间.
- 通过医院电子医疗记录和患者调查收集成本数据,分析直接的医疗,非医疗和间接成本.
主要成果:
- 一年的总成本为57,567.48元人民币,其中间接成本 (28,167.25元人民币) 是一个重要的组成部分.
- 国家卫生研究院中风量表 (NIHSS) 的更高分数和更长的住院时间与成本增加有关.
- 3个月后改善的EuroQol 5维度 (EQ-5D) 实用性得分与较低的总成本有关.
结论:
- 首次发生的缺血性中风在中国造成了相当大的1年经济负担.
- 间接成本占总经济影响的重要且不可忽视的部分.
- 临床严重程度和患者报告的结果是中风相关成本的关键决定因素.
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