Two-year direct medical costs of stroke in Korea: a multi-centre incidence-based study from hospital perspectives.
Summary of "Two-year direct medical costs of stroke in Korea: a multi-centre incidence-based study from hospital perspectives."
BACKGROUND:
Despite increasing socio-economic burden of stroke, few studies have investigated the costs associated with the stroke care in Korea. We estimated the two-year direct medical costs associated with stroke.
METHODS:
This was a multi-centre, incidence-based, retrospective observational study. We examined the records of all adult patients who were admitted in eight large hospitals throughout Korea due to acute stroke [I60: sub-arachnoid haemorrhage; I61: intracerebral haemorrhage; I62: other nontraumatic haemorrhage; I63: cerebral infarction, by The International Statistical Classification of Diseases and Related Health Problems (ICD)-10] between 1 November and 31 December 2006. Direct medical inpatient and outpatient cost of each patient was extracted from the medical record and the reimbursement claim data of the hospital.
RESULTS:
Out of 908 studied patients (14% diagnosed as I60, 18% as I61, 3% as I62, and 65% as I63), 460 (50·7%) were assessed for more than one-year. The annual average direct medical costs were Korean 8 114 471 US$8732) for the first year, and Korean 431 527 for the second year. The first year costs for haemorrhagic stroke (I60-I62) (Korean 13 090 179) were significantly higher than those associated with cerebral infarction (I63) (Korean 5 460 459), whereas the second year costs were not different. Factors independently associated with high cost were female gender, young age, and first stroke.
CONCLUSIONS:
Direct medical costs for stroke in Korea were determined, which seem to be lower than those of other developed countries. Female gender, young age, and first stroke were factors related to higher stroke cost.
Affiliation
Inha University Hospital, Incheon, Korea.
Journal Details
This article was published in the following journal.
Name: International journal of stroke : official journal of the International Stroke Society
ISSN: 1747-4949
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22568522
- DOI: http://dx.doi.org/10.1111/j.1747-4949.2012.00815.x
Medical and Biotech [MESH] Definitions
Hospital Costs
The expenses incurred by a hospital in providing care. The hospital costs attributed to a particular patient care episode include the direct costs plus an appropriate proportion of the overhead for administration, personnel, building maintenance, equipment, etc. Hospital costs are one of the factors which determine HOSPITAL CHARGES (the price the hospital sets for its services).
Direct Service Costs
Costs which are directly identifiable with a particular service.
Hospital Charges
The prices a hospital sets for its services. HOSPITAL COSTS (the direct and indirect expenses incurred by the hospital in providing the services) are one factor in the determination of hospital charges. Other factors may include, for example, profits, competition, and the necessity of recouping the costs of uncompensated care.
Costs And Cost Analysis
Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.
Medicine, Korean Traditional
Medical practice or discipline that is based on the knowledge, cultures, and beliefs of the people of KOREA.
PubMed Articles
The economic burden of musculoskeletal disease in Korea: A cross sectional study.
ABSTRACT: BACKGROUND: Musculoskeletal diseases are becoming increasingly important due to population aging. However, studies on the economic burden of musculoskeletal disease in Korea are scarce. Ther...
Analysis of direct medical care costs of peptic ulcer disease in a Korean tertiary medical center.
Abstract Objectives. There have been no reported data on the medical care cost of idiopathic peptic ulcer disease (PUD) compared with H. pylori (+) and/or NSAID (+) cases although H. pylori-negat...
Population-based study of acute- and long-term care costs after stroke in patients with AF.
BACKGROUND: New treatments for atrial fibrillation patients have been shown to be effective at reducing subsequent vascular event recurrence. However, there are few data on stroke costs in atrial fibr...
Objective. The prevalence of asthma is increasing, and asthma causes considerable socioeconomic burden worldwide. Few studies have been conducted to evaluate the risk factors associated with economic...
Costs of non-specific low back pain in Austria.
The objective of this pilot study was to evaluate the annual direct costs of chronic non-specific low back pain in Austria in patients currently undergoing in-patient rehabilitation or out-patient tre...
Clinical Trials
Retrospective Treatment Pattern Survey for the Patient With and Without History of Stroke
This study will compare hypertension treatment pattern of stroke patients with non-stroke patients receiving medical care from outpatient clinics at neurology specialty centers in Korea. I...
A Multi-Centre Clinical Study in Chronic Spinal Cord Injury Patients
To establish a solid foundation, e.g. network and a coordinating centre for testing new SCI therapies in forthcoming randomized controlled multi-centre clinical trials following internatio...
Multi-Drug Resistant Tuberculosis in Korea
This study, conducted in Korea, will examine why some people are more susceptible to tuberculosis (TB) than others and why some strains of M tuberculosis (the bacteria that causes TB) are...
Thriving, Activity and Social Participation After Stroke
The aim of the study is to evaluate the effect of a group intervention programme for community dwelling elders with stroke or TIA.The intervention is inspired by a Lifestyle Redesign metho...
Does Splinting Prevent Contractures Following Stroke?
After a stroke, many people develop contracture of the muscles in their affected wrist and hand which leads to a permanently clenched, painful hand. A contracture is often treated by thera...
