From: The costs associated with stroke care continuum: a systematic review
First Author Year of publication Country | Objectives | Methods | Results | |||
---|---|---|---|---|---|---|
Design GRADE LEVEL [32] | Participants | Instruments | Calculated stroke costs | |||
Shireman TI, 2017 (EEUU) [37] | Demonstrate improved 90-day outcomes for patients with acute ischemic stroke treated with stent retriever thrombectomy plus tissue-type plasminogen activator (SST + tPA) compared with tPA | Prospective economic study 2 + GRADE | 196 patients | Cost-effectiveness from the perspective of the US healthcare system | Direct costs | Total 90-day costs: - SST + tPA: €52,468,5 - tPA: €41,171 |
Abdo RR, 2018 (Lebanon) [20] | To investigate the direct Medical Cost of Hospitalization | Prospective Incidence-Based Multicenter 2 + GRADE | 230 patients | Cost-of-Illness Study | Direct costs | The average in-hospital cost per stroke patient was €5798,15 ± €113,047 |
Zhang H, 2019 (China), [49] | To investigate the total direct hospitalization costs of stroke. These costs include laboratory and diagnostic costs, medications costs, bed fees and services | Cross-sectional study from 2006 to 2013 2 + GRADE | 114,872 hospitalizations for five stroke types | Databases of Guangzhou City for the years 2006 through 2013 | Direct costs | The average cost of hospitalization for stroke patients was €2328,77 |
Reimer AP, 2019 (EEUU)[39] | To perform a cost consequence analysis of standard transport (ST) vs. Mobile Stroke Unit (MSU) | Cost-Consequence Analysis of Mobile Stroke Units vs. Standard Prehospital Care and Transport | Standard emergency medical services between July 2014 and October 2015 for 400 patient transports MSU | Cleveland Clinic Mobile Stroke Unit | Direct costs | The incremental cost of the MSU vs. ST was €86,134 cost of air transfer (> €11,303.30) |
De Andres, 2014 (Spain) [40] | To estimate the use of healthcare resources and costs of acute Cardioembolic Stroke management | Estudio CODICE. multicenter prospective observational study 2 + GRADE | 128 patients | Spanish National Health System | Direct costs | Average total cost per patient during acute-phase management and rehabilitation was €13,139 |
Van Meijeren-Pont W, 2016 (Netherlands) [41] | To estimate societal costs up to one year after the start of rehabilitation | Stroke Cohort Out-comes of REhabilitation (SCORE) study | 313 stroke patients | 2014 to 2016 | Mean cost out-patient rehabilitation for 12 months | Mean costs for inpatient and outpatient rehabilitation were €86,133 and €33,517 respectively |