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. 2013 Oct;22(7):e152-8.
doi: 10.1016/j.jstrokecerebrovasdis.2012.10.014. Epub 2012 Dec 14.

The impact factors on the cost and length of stay among acute ischemic stroke

Ying-Chih Huang  1 , Chaur-Jong Hu, Tsong-Hai Lee, Jen-Tsung Yang, Hsu-Huei Weng, Leng Chieh Lin, Shiao-Lin Lai
Affiliations

The impact factors on the cost and length of stay among acute ischemic stroke

Ying-Chih Huang et al. J Stroke Cerebrovasc Dis. 2013 Oct.

Erratum in

  • J Stroke Cerebrovasc Dis. 2014 Nov-Dec;23(10):2936
  • Erratum.
    [No authors listed] [No authors listed] J Stroke Cerebrovasc Dis. 2014 Nov-Dec;23(10):2936. doi: 10.1016/j.jstrokecerebrovasdis.2014.09.002. Epub 2014 Sep 26. J Stroke Cerebrovasc Dis. 2014. PMID: 32887028 No abstract available.

Abstract

Background: Understanding hospital costs and length of stay (LOS) can optimize the in-hospital management of acute stroke. We investigated cost and LOS in first-ever and recurrent stroke patients in Taiwan.

Methods: Data were examined in patients at Chang Gung Memorial Hospital in Chiayi County of Taiwan from April 1, 2008, to March 31, 2010 [corrected]. Predictors of hospital cost and LOS in these patients were studied.

Results: The study included 1021 patients with 1084 stroke episodes. Mean age was 68.1 ± 10.8 years (range: 32-93). The average cost was NTD$45,709.30 ± NTD$66,697.40 (US$1408.70 ± US$2084.30; US$1 = NTD$32) and average LOS was 13.9 ± 14.1 days (range: 1-129). After multivariate regression analysis, the significant predictive factors for cost were LOS, smoking, and medication for secondary prevention. The significant predictive factors for LOS were diabetes mellitus, atrial fibrillation, recurrence, and stroke subtype.

Conclusions: Age 65 and over, atrial fibrillation, stroke treatment, and subtypes were the significant predictive factors affecting hospital costs and LOS. Compared to other countries, Taiwan spent the least while Canada had the highest expense. The United States had the shortest LOS (6 days) in contrast to Canada with the longest LOS (34-47 days). Regarding mean daily cost of stroke, the United States had the highest cost per day while China spent the least.

Keywords: Cost; acute; ischemic stroke; length of stay; risk factor; subtypes.

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