Cost analysis of early rehabilitation after stroke in comprehensive cerebrovascular centers in the Czech Republic

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F68407700%3A21460%2F21%3A00326769" target="_blank" >RIV/68407700:21460/21:00326769 - isvavai.cz</a>

Výsledek na webu

<a href="https://doi.org/10.21101/cejph.a6111" target="_blank" >https://doi.org/10.21101/cejph.a6111</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.21101/cejph.a6111" target="_blank" >10.21101/cejph.a6111</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Cost analysis of early rehabilitation after stroke in comprehensive cerebrovascular centers in the Czech Republic

Popis výsledku v původním jazyce

The paper analyses costs of treatment in patients after stroke hospitalized in early rehabilitation units within comprehensive stroke centers in the Czech Republic. This is the first study of the kind in the Czech Republic, while such information is extremely rare worldwide. Stroke treatment witnessed a dramatic development in the last years, while the main progress was due to establishment of specialized (comprehensive) stroke units incorporating also early rehabilitation. There is a general agreement among clinicians that early rehabilitation is beneficial for patients after stroke. Costs of early rehabilitation after stroke were calculated by the micro-costing method alongside a pragmatic study in three Czech hospitals. The analysis of data collected during the prospective observational research of 87 patients proved significant differences between patients within a single diagnosis, the stroke. The stroke had ischemic aetiology in 57 cases, ischemic-embolic in 21 cases, haemorrhagic in 7 cases, and the origin was not recorded in 2 cases. The primary therapy was conservative in 50 patients, thrombolytic in 26 patients, intravascular in 9 patient, and surgical in 2 patients. The laterality in hemiparesis was balanced. Patients were transferred to specialized early rehabilitation units usually on 7th to 14th day after stroke onset and receive four hours of interprofessional rehabilitation per day. The average costs of hospitalization were determined to be CZK 5 104 (EUR 194) per one day of inpatient intensive rehabilitation in a severe patient early after stroke. These costs differed significantly between hospitals (p-value < 0.00001); the structure of direct costs was quite stable, though. About 60% of these costs were due to nursing and overhead, while no more than 15% was the part consumed by therapists. Future research should be focused on a positive effect of early rehabilitation after stroke on the social budget and family indirect expenses

Název v anglickém jazyce

Cost analysis of early rehabilitation after stroke in comprehensive cerebrovascular centers in the Czech Republic

Popis výsledku anglicky

The paper analyses costs of treatment in patients after stroke hospitalized in early rehabilitation units within comprehensive stroke centers in the Czech Republic. This is the first study of the kind in the Czech Republic, while such information is extremely rare worldwide. Stroke treatment witnessed a dramatic development in the last years, while the main progress was due to establishment of specialized (comprehensive) stroke units incorporating also early rehabilitation. There is a general agreement among clinicians that early rehabilitation is beneficial for patients after stroke. Costs of early rehabilitation after stroke were calculated by the micro-costing method alongside a pragmatic study in three Czech hospitals. The analysis of data collected during the prospective observational research of 87 patients proved significant differences between patients within a single diagnosis, the stroke. The stroke had ischemic aetiology in 57 cases, ischemic-embolic in 21 cases, haemorrhagic in 7 cases, and the origin was not recorded in 2 cases. The primary therapy was conservative in 50 patients, thrombolytic in 26 patients, intravascular in 9 patient, and surgical in 2 patients. The laterality in hemiparesis was balanced. Patients were transferred to specialized early rehabilitation units usually on 7th to 14th day after stroke onset and receive four hours of interprofessional rehabilitation per day. The average costs of hospitalization were determined to be CZK 5 104 (EUR 194) per one day of inpatient intensive rehabilitation in a severe patient early after stroke. These costs differed significantly between hospitals (p-value < 0.00001); the structure of direct costs was quite stable, though. About 60% of these costs were due to nursing and overhead, while no more than 15% was the part consumed by therapists. Future research should be focused on a positive effect of early rehabilitation after stroke on the social budget and family indirect expenses

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30210 - Clinical neurology

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2021

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Central European Journal of Public Health

ISSN

1210-7778

e-ISSN

1803-1048

Svazek periodika

29

Číslo periodika v rámci svazku

2

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

6

Strana od-do

153-158

Kód UT WoS článku

000708067700011

EID výsledku v databázi Scopus

2-s2.0-85111405263