Medical Costs of Stroke Care Between Women With and Without Dysmenorrhea: A Population-Based Comparison
Objective: This study investigated the medical care costs of stroke type between age-matched cohorts with and without dysmenorrhea using the National Health Insurance Research Database (NHIRD).Methods: We collected all 66,048 women with dysmenorrhea and 66,048 women without dysmenorrhea whose age (1...
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| Format: | Article |
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Frontiers Media S.A.
2021-09-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2021.699359/full |
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| author | Ya-Wen Lin Ya-Wen Lin Fung-Chang Sung Fung-Chang Sung Fung-Chang Sung Ming-Hung Lin Chih-Hsin Muo Yu-Kuei Teng Yu-Kuei Teng Chia-Hung Kao Chia-Hung Kao Chia-Hung Kao Chia-Hung Kao Ya-Ling Tzeng Ya-Ling Tzeng |
| author_facet | Ya-Wen Lin Ya-Wen Lin Fung-Chang Sung Fung-Chang Sung Fung-Chang Sung Ming-Hung Lin Chih-Hsin Muo Yu-Kuei Teng Yu-Kuei Teng Chia-Hung Kao Chia-Hung Kao Chia-Hung Kao Chia-Hung Kao Ya-Ling Tzeng Ya-Ling Tzeng |
| author_sort | Ya-Wen Lin |
| collection | DOAJ |
| description | Objective: This study investigated the medical care costs of stroke type between age-matched cohorts with and without dysmenorrhea using the National Health Insurance Research Database (NHIRD).Methods: We collected all 66,048 women with dysmenorrhea and 66,048 women without dysmenorrhea whose age (15-44-year-old) and index year (from 1997 to 2013) were matched for comparison. We assessed the incidence and compared the risk of stroke and stroke subtype in two cohorts. The proportional distributions of stroke subtypes by age between the two cohorts were compared among the women with stroke, and their hospitalization rate was also estimated. In addition, medical cost, length of stay, and the medical cost within 30 days after stroke were compared between the two cohorts.Results: The stroke risk in dysmenorrhea was greater than comparisons (HR = 1.26, 95% CI = 1.11–1.42). Proportionally, hemorrhagic stroke (HS) significantly decreased with age in both cohorts, whereas ischemic stroke (IS) significantly increased with age when both cohorts were combined. The dysmenorrhea cohort had a higher portion of transient cerebral ischemia (TIA) stroke than comparisons (31.3 vs. 24.2%, p = 0.01) and a lower risk of hospitalization for IS (OR = 0.48, 95% CI = 0.21–0.69). Among the four-stroke subtypes, the cost of care for TIA was the least (US$157 ± 254). The average cost for stroke care was not significantly different between women with and without dysmenorrhea.Conclusion: The hospitalization rate and medical costs of TIA are lower than other types. All women should prevent and treat TIA as soon as possible to avoid recurrence or progression to major stroke events and reduce medical costs, regardless of whether they have dysmenorrhea. |
| first_indexed | 2024-12-22T00:14:07Z |
| format | Article |
| id | doaj.art-23bb2081446c4900a4ef8afa97a1d7f7 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-22T00:14:07Z |
| publishDate | 2021-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-23bb2081446c4900a4ef8afa97a1d7f72022-12-21T18:45:21ZengFrontiers Media S.A.Frontiers in Public Health2296-25652021-09-01910.3389/fpubh.2021.699359699359Medical Costs of Stroke Care Between Women With and Without Dysmenorrhea: A Population-Based ComparisonYa-Wen Lin0Ya-Wen Lin1Fung-Chang Sung2Fung-Chang Sung3Fung-Chang Sung4Ming-Hung Lin5Chih-Hsin Muo6Yu-Kuei Teng7Yu-Kuei Teng8Chia-Hung Kao9Chia-Hung Kao10Chia-Hung Kao11Chia-Hung Kao12Ya-Ling Tzeng13Ya-Ling Tzeng14School of Nursing and Graduate Institute of Nursing, China Medical University, Taichung, TaiwanDepartment of Public Health, China Medical University, Taichung, TaiwanManagement Office for Health Data, China Medical University Hospital, Taichung, TaiwanDepartment of Health Services Administration, China Medical University, Taichung, TaiwanDepartment of Food Nutrition and Health Biotechnology, Asia University, Taichung, TaiwanDepartment of Pharmacy and Master Program, Tajen University, Pingtung, TaiwanManagement Office for Health Data, China Medical University Hospital, Taichung, TaiwanSchool of Nursing and Graduate Institute of Nursing, China Medical University, Taichung, TaiwanDepartment of Nursing, China Medical University Hospital, Taichung, TaiwanGraduate Institute of Biomedical Sciences, College of Medicine, China Medical University, Taichung, TaiwanDepartment of Nuclear Medicine and PET Center, China Medical University Hospital, Taichung, Taiwan0Department of Bioinformatics and Medical Engineering, Asia University, Taichung, Taiwan1Center of Augmented Intelligence in Healthcare, China Medical University Hospital, Taichung, TaiwanSchool of Nursing and Graduate Institute of Nursing, China Medical University, Taichung, TaiwanDepartment of Nursing, China Medical University Hospital, Taichung, TaiwanObjective: This study investigated the medical care costs of stroke type between age-matched cohorts with and without dysmenorrhea using the National Health Insurance Research Database (NHIRD).Methods: We collected all 66,048 women with dysmenorrhea and 66,048 women without dysmenorrhea whose age (15-44-year-old) and index year (from 1997 to 2013) were matched for comparison. We assessed the incidence and compared the risk of stroke and stroke subtype in two cohorts. The proportional distributions of stroke subtypes by age between the two cohorts were compared among the women with stroke, and their hospitalization rate was also estimated. In addition, medical cost, length of stay, and the medical cost within 30 days after stroke were compared between the two cohorts.Results: The stroke risk in dysmenorrhea was greater than comparisons (HR = 1.26, 95% CI = 1.11–1.42). Proportionally, hemorrhagic stroke (HS) significantly decreased with age in both cohorts, whereas ischemic stroke (IS) significantly increased with age when both cohorts were combined. The dysmenorrhea cohort had a higher portion of transient cerebral ischemia (TIA) stroke than comparisons (31.3 vs. 24.2%, p = 0.01) and a lower risk of hospitalization for IS (OR = 0.48, 95% CI = 0.21–0.69). Among the four-stroke subtypes, the cost of care for TIA was the least (US$157 ± 254). The average cost for stroke care was not significantly different between women with and without dysmenorrhea.Conclusion: The hospitalization rate and medical costs of TIA are lower than other types. All women should prevent and treat TIA as soon as possible to avoid recurrence or progression to major stroke events and reduce medical costs, regardless of whether they have dysmenorrhea.https://www.frontiersin.org/articles/10.3389/fpubh.2021.699359/fullcost of stroke caredysmenorrheamenstrual cycletype of strokeyoung women |
| spellingShingle | Ya-Wen Lin Ya-Wen Lin Fung-Chang Sung Fung-Chang Sung Fung-Chang Sung Ming-Hung Lin Chih-Hsin Muo Yu-Kuei Teng Yu-Kuei Teng Chia-Hung Kao Chia-Hung Kao Chia-Hung Kao Chia-Hung Kao Ya-Ling Tzeng Ya-Ling Tzeng Medical Costs of Stroke Care Between Women With and Without Dysmenorrhea: A Population-Based Comparison Frontiers in Public Health cost of stroke care dysmenorrhea menstrual cycle type of stroke young women |
| title | Medical Costs of Stroke Care Between Women With and Without Dysmenorrhea: A Population-Based Comparison |
| title_full | Medical Costs of Stroke Care Between Women With and Without Dysmenorrhea: A Population-Based Comparison |
| title_fullStr | Medical Costs of Stroke Care Between Women With and Without Dysmenorrhea: A Population-Based Comparison |
| title_full_unstemmed | Medical Costs of Stroke Care Between Women With and Without Dysmenorrhea: A Population-Based Comparison |
| title_short | Medical Costs of Stroke Care Between Women With and Without Dysmenorrhea: A Population-Based Comparison |
| title_sort | medical costs of stroke care between women with and without dysmenorrhea a population based comparison |
| topic | cost of stroke care dysmenorrhea menstrual cycle type of stroke young women |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2021.699359/full |
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