Cost and cost-effectiveness of early inpatient rehabilitation after stroke varies with initial disability: the Czech Republic perspective
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61988987%3A17110%2F20%3AA21027G2" target="_blank" >RIV/61988987:17110/20:A21027G2 - isvavai.cz</a>
Alternative codes found
RIV/68407700:21460/20:00341502 RIV/44555601:13450/20:43895849 RIV/00216208:11110/20:10417878 RIV/00064165:_____/20:10417878
Result on the web
<a href="https://journals.lww.com/intjrehabilres/Fulltext/2020/12000/Cost_and_cost_effectiveness_of_early_inpatient.14.aspx" target="_blank" >https://journals.lww.com/intjrehabilres/Fulltext/2020/12000/Cost_and_cost_effectiveness_of_early_inpatient.14.aspx</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1097/MRR.0000000000000440" target="_blank" >10.1097/MRR.0000000000000440</a>
Alternative languages
Result language
angličtina
Original language name
Cost and cost-effectiveness of early inpatient rehabilitation after stroke varies with initial disability: the Czech Republic perspective
Original language description
The purpose of this prospective study was to determine whether the cost and cost-effectiveness of early rehabilitation after stroke are associated with the degree of initial disability. The data for cost calculations were collected by the bottom-up (micro-costing) method alongside the standard inpatient care. The total sample included 87 patients who were transferred from acute care to early rehabilitation unit of three participating stroke centers at the median time poststroke of 11 days (range 4-69 days). The study was pragmatic so that all hospitals followed their standard therapeutic procedures. For each patient, the staff recorded each procedure and the associated time over the hospital stay. The cost and cost-effectiveness were compared between four disability categories. The average cost of the entire hospitalization was CZK 114 489 (EUR 4348) with the daily average of CZK 5103 (EUR 194). The cost was 2.4 times higher for the immobile category (CZK/EU: 167 530/6363) than the self-sufficient category (CZK/EUR: 68 825/2614), and the main driver of the increase was the cost of nursing. The motor status had a much greater influence than cognitive status. We conclude that the cost and cost-effectiveness of early rehabilitation after stroke are positively associated with the degree of the motor but not cognitive disability. To justify the cost of rehabilitation and monitor its effectiveness, it is recommended to systematically record the elements of care provided and perform functional assessments on admission and discharge.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30500 - Other medical sciences
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2020
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
INT J REHABIL RES
ISSN
0342-5282
e-ISSN
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Volume of the periodical
43
Issue of the periodical within the volume
4
Country of publishing house
US - UNITED STATES
Number of pages
7
Pages from-to
376-382
UT code for WoS article
000587785100014
EID of the result in the Scopus database
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