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The development and use of a method to compare the costs of acute stroke across Europe.
Grieve, R; Dundas, R; Beech, R; Wolfe, C.
Afiliación
  • Grieve R; Department of Public Health Sciences, Guy's, King's and St Thomas' School of Medicine, London, UK. richard.grieve@lshtm.ac.uk
Age Ageing ; 30(1): 67-72, 2001 Jan.
Article en En | MEDLINE | ID: mdl-11322676
BACKGROUND: there is a need for more information on the costs of different ways of managing stroke. Methods to compare the costs of stroke care in different countries have not been previously developed. OBJECTIVE: to develop and use a method to compare the costs of acute stroke care across Europe. SETTING: acute hospitals in 13 different European centres. SUBJECTS AND METHODS: we included in the study stroke patients hospitalized during 1996-7 at 13 centres across Europe (n=2072). We recorded the duration of acute hospital stay and use of investigations. Mean costs for each centre were predicted using linear regression analysis to adjust for case-mix differences. RESULTS: the average acute hospital stay ranged from 9 days (Spain) to 35 days (UK; P < 0.001). The predicted mean cost of treating conscious, continent men aged > 74 ranged from $220 (95% confidence interval 191-254) in Latvia to $5164 (4294-6191) in Austria. CONCLUSIONS: differences in the acute costs of stroke exist across Europe because of differences in clinical practice and unit costs. This methodology will be used to capture the costs incurred by a broad range of care providers. These estimates will then be suitable for using in cost-effectiveness analysis.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Grupos Diagnósticos Relacionados / Precios de Hospital / Accidente Cerebrovascular / Tiempo de Internación Tipo de estudio: Health_economic_evaluation Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Age Ageing Año: 2001 Tipo del documento: Article Pais de publicación: Reino Unido
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Grupos Diagnósticos Relacionados / Precios de Hospital / Accidente Cerebrovascular / Tiempo de Internación Tipo de estudio: Health_economic_evaluation Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Age Ageing Año: 2001 Tipo del documento: Article Pais de publicación: Reino Unido