根据功能残疾程度计算,中风后第一年的成本:社会视角
Mercè Soler-Font1,2, Aida Ribera2,3, Ignacio Aznar-Lou1,2
1Health Technology Assessment in Primary Care and Mental Health (PRISMA), Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.
European stroke journal
|November 30, 2024
概括
脑卒中后的第一年产生了高的社会成本,随着功能障碍的增加而增加. 这些发现对于了解严重中风病例的经济负担至关重要.
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:
- 脑卒中给社会带来了巨大的经济负担.
- 估计这些成本对于资源分配和医疗保健政策至关重要.
研究的目的:
- 估计中风后第一年所产生的社会成本.
- 分析这些成本是如何根据功能残疾程度而有所不同.
主要方法:
- 一项描述性研究跟踪了西班牙加泰罗尼亚的567名中风患者的队列.
- 通过医院记录,电子健康记录和1年多的采访来收集费用.
- 用修改的兰金尺度 (mRS) 评估功能残疾.
主要成果:
- 每名中风患者的平均第一年成本为29,673欧元,随着残疾增加而增加 (mRS 0-2: 18,568欧元; mRS 3: 38,214欧元; mRS 4-5: 52,859欧元).
- 医疗保健费用占最大份额 (63%),主要是由于初次住院治疗.
- 严重残疾患者的社区和患者/家庭成本超过40%.
结论:
- 在第一年中,中风的成本是相当大的,随着残疾的增加而升级.
- 这些发现为计算严重中风的经济影响提供了有价值的数据.
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