Two-year direct medical costs of stroke in Korea: a multi-centre incidence-based study from hospital perspectives

Title
Two-year direct medical costs of stroke in Korea: a multi-centre incidence-based study from hospital perspectives
Authors
나정호
Keywords
burden, cost, stroke
Issue Date
2013
Publisher
INTERNATIONAL JOURNAL OF STROKE
Series/Report no.
INTERNATIONAL JOURNAL OF STROKE ; Vol.8 no.3 Startpage 186 Endpage 192
Abstract
Background Despite increasing socio-economic burden ofstroke, few studies have investigated the costs associatedwith the stroke care in Korea. We estimated the two-yeardirect medical costs associated with stroke.Methods This was a multi-centre, incidence-based, retro-spective observational study. We examined the records of alladult patients who were admitted in eight large hospitalsthroughout Korea due to acute stroke [I60: sub-arachnoidhaemorrhage; I61: intracerebral haemorrhage; I62: othernontraumatic haemorrhage; I63: cerebral infarction, byThe International Statistical Classification of Diseases andRelated Health Problems (ICD)-10] between 1 November and31 December 2006. Direct medical inpatient and outpatientcost of each patient was extracted from the medical recordand 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%) wereassessed for more than one-year. The annual average directmedical costs were KoreanW=8 114 471 US$8732) for thefirst year, and KoreanW=431 527 for the second year. Thefirst year costs for haemorrhagic stroke (I60?I62) (KoreanW=13 090 179) were significantly higher than thoseassociated with cerebral infarction (I63) (KoreanW=5 460 459), whereas the second year costs were not differ-ent. Factors independently associated with high cost werefemale gender, young age, and first stroke.Conclusions Direct medical costs for stroke in Korea weredetermined, which seem to be lower than those of otherdeveloped countries. Female gender, young age, and firststroke were factors related to higher stroke cost.
URI
http://dspace.inha.ac.kr/handle/10505/31907
ISSN
1747-4930
Appears in Collections:
Medical School/College of Medicine (의학전문대학원/의과대학) > Medical Science (의학) > Journal Papers, Reports(의학 논문, 보고서)

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