The cost of stroke in private hospitals in Brazil: a one-year prospective study
ABSTRACT Few studies from low- and middle-income countries have assessed stroke and cerebral reperfusion costs from the private sector. Objective To measure the in-hospital costs of ischemic stroke (IS), with and without cerebral reperfusion, primary intracerebral hemorrhage (PIH), subarachnoid he...
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| Format: | Article |
| Language: | English |
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Academia Brasileira de Neurologia (ABNEURO)
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2019000600393&lng=en&tlng=en |
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| author | Luana Gabriela Dalla Rosa VIEIRA Juliana SAFANELLI Tainá de ARAUJO Helen Aparecida SCHUCH Maria Helena Ribeiro KUHLHOFF Vivian NAGEL Adriana Bastos CONFORTO Gisele Sampaio SILVA Suleimy MAZIN Norberto Luiz CABRAL |
| author_facet | Luana Gabriela Dalla Rosa VIEIRA Juliana SAFANELLI Tainá de ARAUJO Helen Aparecida SCHUCH Maria Helena Ribeiro KUHLHOFF Vivian NAGEL Adriana Bastos CONFORTO Gisele Sampaio SILVA Suleimy MAZIN Norberto Luiz CABRAL |
| author_sort | Luana Gabriela Dalla Rosa VIEIRA |
| collection | DOAJ |
| description | ABSTRACT Few studies from low- and middle-income countries have assessed stroke and cerebral reperfusion costs from the private sector. Objective To measure the in-hospital costs of ischemic stroke (IS), with and without cerebral reperfusion, primary intracerebral hemorrhage (PIH), subarachnoid hemorrhage (SAH) and transient ischemic attacks (TIA) in two private hospitals in Joinville, Brazil. Methods Prospective disease-cost study. All medical and nonmedical costs for patients admitted with any stroke type or TIA were consecutively determined in 2016-17. All costs were adjusted to the gross domestic product deflator index and purchasing power parity. Results We included 173 patients. The median cost per patient was US$3,827 (IQR: 2,800-8,664) for the 131 IS patients; US$2,315 (IQR: 1,692-2,959) for the 27 TIA patients; US$16,442 (IQR: 5,108-33,355) for the 11 PIH patients and US$28,928 (IQR: 12,424-48,037) for the four SAH patients (p < 0.00001). For the six IS patients who underwent intravenous thrombolysis, the median cost per patient was US$11,463 (IQR: 8,931-14,291), and for the four IS patients who underwent intra-arterial thrombectomy, the median cost per patient was US$35,092 (IQR: 31,833-37,626; p < 0.0001). A direct correlation was found between cost and length of stay (r = 0.67, p < 0.001). Conclusions Stroke is a costly disease. In the private sector, the costs of cerebral reperfusion for IS treatment were three-to-ten times higher than for usual treatments. Therefore, cost-effectiveness studies are urgently needed in low- and middle-income countries. |
| first_indexed | 2024-12-12T02:56:05Z |
| format | Article |
| id | doaj.art-ba00b83b28ef4e1fbd9653121efe8ba0 |
| institution | Directory Open Access Journal |
| issn | 1678-4227 |
| language | English |
| last_indexed | 2024-12-12T02:56:05Z |
| publisher | Academia Brasileira de Neurologia (ABNEURO) |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj.art-ba00b83b28ef4e1fbd9653121efe8ba02022-12-22T00:40:46ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-422777639340310.1590/0004-282x20190056S0004-282X2019000600393The cost of stroke in private hospitals in Brazil: a one-year prospective studyLuana Gabriela Dalla Rosa VIEIRAJuliana SAFANELLITainá de ARAUJOHelen Aparecida SCHUCHMaria Helena Ribeiro KUHLHOFFVivian NAGELAdriana Bastos CONFORTOGisele Sampaio SILVASuleimy MAZINNorberto Luiz CABRALABSTRACT Few studies from low- and middle-income countries have assessed stroke and cerebral reperfusion costs from the private sector. Objective To measure the in-hospital costs of ischemic stroke (IS), with and without cerebral reperfusion, primary intracerebral hemorrhage (PIH), subarachnoid hemorrhage (SAH) and transient ischemic attacks (TIA) in two private hospitals in Joinville, Brazil. Methods Prospective disease-cost study. All medical and nonmedical costs for patients admitted with any stroke type or TIA were consecutively determined in 2016-17. All costs were adjusted to the gross domestic product deflator index and purchasing power parity. Results We included 173 patients. The median cost per patient was US$3,827 (IQR: 2,800-8,664) for the 131 IS patients; US$2,315 (IQR: 1,692-2,959) for the 27 TIA patients; US$16,442 (IQR: 5,108-33,355) for the 11 PIH patients and US$28,928 (IQR: 12,424-48,037) for the four SAH patients (p < 0.00001). For the six IS patients who underwent intravenous thrombolysis, the median cost per patient was US$11,463 (IQR: 8,931-14,291), and for the four IS patients who underwent intra-arterial thrombectomy, the median cost per patient was US$35,092 (IQR: 31,833-37,626; p < 0.0001). A direct correlation was found between cost and length of stay (r = 0.67, p < 0.001). Conclusions Stroke is a costly disease. In the private sector, the costs of cerebral reperfusion for IS treatment were three-to-ten times higher than for usual treatments. Therefore, cost-effectiveness studies are urgently needed in low- and middle-income countries.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2019000600393&lng=en&tlng=enStrokecosts and cost analysishospitals |
| spellingShingle | Luana Gabriela Dalla Rosa VIEIRA Juliana SAFANELLI Tainá de ARAUJO Helen Aparecida SCHUCH Maria Helena Ribeiro KUHLHOFF Vivian NAGEL Adriana Bastos CONFORTO Gisele Sampaio SILVA Suleimy MAZIN Norberto Luiz CABRAL The cost of stroke in private hospitals in Brazil: a one-year prospective study Arquivos de Neuro-Psiquiatria Stroke costs and cost analysis hospitals |
| title | The cost of stroke in private hospitals in Brazil: a one-year prospective study |
| title_full | The cost of stroke in private hospitals in Brazil: a one-year prospective study |
| title_fullStr | The cost of stroke in private hospitals in Brazil: a one-year prospective study |
| title_full_unstemmed | The cost of stroke in private hospitals in Brazil: a one-year prospective study |
| title_short | The cost of stroke in private hospitals in Brazil: a one-year prospective study |
| title_sort | cost of stroke in private hospitals in brazil a one year prospective study |
| topic | Stroke costs and cost analysis hospitals |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2019000600393&lng=en&tlng=en |
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