Cost of stroke from a tertiary center in northwest India
We aimed to study the cost of stroke, its predictors, and the impact on social determinants of the family. This prospective study was done in the Stroke unit and Neurology clinic between April 2009 and October 2011. All first ever stroke patients during the study period were enrolled. Direct and ind...
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| Veröffentlicht in: | Neurology India 2013-11, Vol.61 (6), p.627-632 |
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| creator | Kwatra, Gagandeep Kaur, Paramdeep Toor, Gagan Badyal, Dinesh K Kaur, Raminder Singh, Yashpal Pandian, Jeyaraj D |
| description | We aimed to study the cost of stroke, its predictors, and the impact on social determinants of the family.
This prospective study was done in the Stroke unit and Neurology clinic between April 2009 and October 2011.
All first ever stroke patients during the study period were enrolled. Direct and indirect costs at admission, at 1 and 6 months follow-up were obtained. The follow-up included information about the patient's poststroke outcome using modified Rankin Scale (mRS), work status, modifications made at home, loan requirement, etc.,
Two hundred patients were enrolled in this study and final analysis was performed on 189 patients. The mean age was 58 ± 13 years and 128 (67.7%) were men. Majority (54%) were living in a joint family. The mean overall cost of stroke per patient was rupees (INR) 80612 at 6 months. Higher income (P = 0.008), poor outcome (mRS >2) (P = 0.001), and length of hospital stay (P = 0.001) were the cost driving factors of total cost of stroke at 6 months. There was a decline in the requirement of help (P < 0.0001) and need for loan (P = 0.003) at 6 months follow-up.
Direct medical cost or acute care of stroke accounted for a major component of cost of stroke. Poor outcome, length of hospital stay, and higher income were the cost driving factors. The socioeconomic impact on the family decreased at follow up probably due to joint family system. |
| doi_str_mv | 10.4103/0028-3886.125270 |
| format | Article |
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This prospective study was done in the Stroke unit and Neurology clinic between April 2009 and October 2011.
All first ever stroke patients during the study period were enrolled. Direct and indirect costs at admission, at 1 and 6 months follow-up were obtained. The follow-up included information about the patient's poststroke outcome using modified Rankin Scale (mRS), work status, modifications made at home, loan requirement, etc.,
Two hundred patients were enrolled in this study and final analysis was performed on 189 patients. The mean age was 58 ± 13 years and 128 (67.7%) were men. Majority (54%) were living in a joint family. The mean overall cost of stroke per patient was rupees (INR) 80612 at 6 months. Higher income (P = 0.008), poor outcome (mRS >2) (P = 0.001), and length of hospital stay (P = 0.001) were the cost driving factors of total cost of stroke at 6 months. There was a decline in the requirement of help (P < 0.0001) and need for loan (P = 0.003) at 6 months follow-up.
Direct medical cost or acute care of stroke accounted for a major component of cost of stroke. Poor outcome, length of hospital stay, and higher income were the cost driving factors. The socioeconomic impact on the family decreased at follow up probably due to joint family system.</description><identifier>ISSN: 0028-3886</identifier><identifier>EISSN: 1998-4022</identifier><identifier>DOI: 10.4103/0028-3886.125270</identifier><identifier>PMID: 24441331</identifier><language>eng</language><publisher>India: Medknow Publications and Media Pvt. Ltd</publisher><subject>Care and treatment ; Caregivers ; Economic aspects ; Family income ; Family medical history ; Female ; Health insurance ; Hospital costs ; Hospital Units - economics ; Hospitalization ; Hospitalization - economics ; Humans ; India ; Industrialized nations ; Insurance policies ; Male ; Medical care, Cost of ; Middle Aged ; NMR ; Nuclear magnetic resonance ; Older people ; Rehabilitation ; Risk Factors ; Socioeconomic factors ; Stroke ; Stroke (Disease) ; Stroke - economics</subject><ispartof>Neurology India, 2013-11, Vol.61 (6), p.627-632</ispartof><rights>COPYRIGHT 2013 Medknow Publications and Media Pvt. Ltd.</rights><rights>Copyright Medknow Publications & Media Pvt Ltd Nov-Dec 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c432t-3e25da0be15d659bcedcfd035c75460c9628056b75c175c7d4256d1fb12d63603</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24441331$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kwatra, Gagandeep</creatorcontrib><creatorcontrib>Kaur, Paramdeep</creatorcontrib><creatorcontrib>Toor, Gagan</creatorcontrib><creatorcontrib>Badyal, Dinesh K</creatorcontrib><creatorcontrib>Kaur, Raminder</creatorcontrib><creatorcontrib>Singh, Yashpal</creatorcontrib><creatorcontrib>Pandian, Jeyaraj D</creatorcontrib><title>Cost of stroke from a tertiary center in northwest India</title><title>Neurology India</title><addtitle>Neurol India</addtitle><description>We aimed to study the cost of stroke, its predictors, and the impact on social determinants of the family.
This prospective study was done in the Stroke unit and Neurology clinic between April 2009 and October 2011.
All first ever stroke patients during the study period were enrolled. Direct and indirect costs at admission, at 1 and 6 months follow-up were obtained. The follow-up included information about the patient's poststroke outcome using modified Rankin Scale (mRS), work status, modifications made at home, loan requirement, etc.,
Two hundred patients were enrolled in this study and final analysis was performed on 189 patients. The mean age was 58 ± 13 years and 128 (67.7%) were men. Majority (54%) were living in a joint family. The mean overall cost of stroke per patient was rupees (INR) 80612 at 6 months. Higher income (P = 0.008), poor outcome (mRS >2) (P = 0.001), and length of hospital stay (P = 0.001) were the cost driving factors of total cost of stroke at 6 months. There was a decline in the requirement of help (P < 0.0001) and need for loan (P = 0.003) at 6 months follow-up.
Direct medical cost or acute care of stroke accounted for a major component of cost of stroke. Poor outcome, length of hospital stay, and higher income were the cost driving factors. The socioeconomic impact on the family decreased at follow up probably due to joint family system.</description><subject>Care and treatment</subject><subject>Caregivers</subject><subject>Economic aspects</subject><subject>Family income</subject><subject>Family medical history</subject><subject>Female</subject><subject>Health insurance</subject><subject>Hospital costs</subject><subject>Hospital Units - economics</subject><subject>Hospitalization</subject><subject>Hospitalization - economics</subject><subject>Humans</subject><subject>India</subject><subject>Industrialized nations</subject><subject>Insurance policies</subject><subject>Male</subject><subject>Medical care, Cost of</subject><subject>Middle Aged</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Older people</subject><subject>Rehabilitation</subject><subject>Risk Factors</subject><subject>Socioeconomic factors</subject><subject>Stroke</subject><subject>Stroke (Disease)</subject><subject>Stroke - economics</subject><issn>0028-3886</issn><issn>1998-4022</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkctL7DAUxoMoOj72d3UpuHHTMTl5tF3K4AsG3Og6pMmp1tsmmnQQ_3szjHpRhhByTvL7zknyEfKH0blglJ9TCnXJ61rNGUio6A6ZsaapS0EBdsns-_iAHKb0nFPOGeyTAxBCsBzPSL0IaSpCV6Qphn9YdDGMhSkmjFNv4nth0ee46H3hQ5ye3jDTt9715pjsdWZIePK5HpGHq8v7xU25vLu-XVwsSys4TCVHkM7QFpl0SjatRWc7R7m0lRSK2kZBTaVqK2lZnpUTIJVjXcvAKa4oPyJnm7ovMbyucns99sniMBiPYZU0Ew2oqgHGMnr6C30Oq-jz7TSTFCqhGgH_qUczoO59F6Zo7LqovuCyBg4NV5kqt1CP6DGaIXjs-rz9g59v4fNwOPZ2q4BuBDaGlCJ2-iX2Y_5yzahem6vX7um1e3pjbpb8_Xzfqh3RfQu-3OQf8LSaGA</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>Kwatra, Gagandeep</creator><creator>Kaur, Paramdeep</creator><creator>Toor, Gagan</creator><creator>Badyal, Dinesh K</creator><creator>Kaur, Raminder</creator><creator>Singh, Yashpal</creator><creator>Pandian, Jeyaraj D</creator><general>Medknow Publications and Media Pvt. 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Academic</collection><jtitle>Neurology India</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kwatra, Gagandeep</au><au>Kaur, Paramdeep</au><au>Toor, Gagan</au><au>Badyal, Dinesh K</au><au>Kaur, Raminder</au><au>Singh, Yashpal</au><au>Pandian, Jeyaraj D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cost of stroke from a tertiary center in northwest India</atitle><jtitle>Neurology India</jtitle><addtitle>Neurol India</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>61</volume><issue>6</issue><spage>627</spage><epage>632</epage><pages>627-632</pages><issn>0028-3886</issn><eissn>1998-4022</eissn><abstract>We aimed to study the cost of stroke, its predictors, and the impact on social determinants of the family.
This prospective study was done in the Stroke unit and Neurology clinic between April 2009 and October 2011.
All first ever stroke patients during the study period were enrolled. Direct and indirect costs at admission, at 1 and 6 months follow-up were obtained. The follow-up included information about the patient's poststroke outcome using modified Rankin Scale (mRS), work status, modifications made at home, loan requirement, etc.,
Two hundred patients were enrolled in this study and final analysis was performed on 189 patients. The mean age was 58 ± 13 years and 128 (67.7%) were men. Majority (54%) were living in a joint family. The mean overall cost of stroke per patient was rupees (INR) 80612 at 6 months. Higher income (P = 0.008), poor outcome (mRS >2) (P = 0.001), and length of hospital stay (P = 0.001) were the cost driving factors of total cost of stroke at 6 months. There was a decline in the requirement of help (P < 0.0001) and need for loan (P = 0.003) at 6 months follow-up.
Direct medical cost or acute care of stroke accounted for a major component of cost of stroke. Poor outcome, length of hospital stay, and higher income were the cost driving factors. The socioeconomic impact on the family decreased at follow up probably due to joint family system.</abstract><cop>India</cop><pub>Medknow Publications and Media Pvt. Ltd</pub><pmid>24441331</pmid><doi>10.4103/0028-3886.125270</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0028-3886 |
| ispartof | Neurology India, 2013-11, Vol.61 (6), p.627-632 |
| issn | 0028-3886 1998-4022 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Care and treatment Caregivers Economic aspects Family income Family medical history Female Health insurance Hospital costs Hospital Units - economics Hospitalization Hospitalization - economics Humans India Industrialized nations Insurance policies Male Medical care, Cost of Middle Aged NMR Nuclear magnetic resonance Older people Rehabilitation Risk Factors Socioeconomic factors Stroke Stroke (Disease) Stroke - economics |
| title | Cost of stroke from a tertiary center in northwest India |
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