新加坡中风护理的医院费用。

Hospital costs for stroke care in Singapore.

作者信息

Venketasubramanian N, Yin A

机构信息

Stroke Center, Tan Tock Seng Hospital, Singapore.

出版信息

Cerebrovasc Dis. 2000 Jul-Aug;10(4):320-6. doi: 10.1159/000016077.

DOI:10.1159/000016077

PMID:10878439

Abstract

We performed this prospective study to determine the cost of care for acute stroke patients admitted to hospital. Stroke was subtyped into subarachnoid hemorrhage (SAH), intraparenchymal hemorrhage (IPH), nonlacunar infarct (NLC), lacunar infarct (LAC) and transient ischemic attack (TIA). Cost of care was computed for the various services the patient received. At the time of the study, US$ 1 = S$1. 50. 426 patients were studied. Mean length of stay (LOS) was 17 days. Mean cost/discharge was S$7,547. Ward charges accounted for 38.2%, radiology 14.5%, doctors' fees 10.3%, drugs 8.4%, therapy 7.3%. Cost was highly correlated with LOS, r(2) = 0.73. Mean cost/discharge was SAH S$28,539, IPH S$14,398, NLC S$7,476, LAC S$3,517, TIA S$1,962. Initial hospitalization cost for stroke is highly correlated with LOS. The bulk of cost is attributable to ward stay. Cost/discharge is highest with SAH, and in descending order IPH, NLC, LAC, TIA.

摘要

我们开展了这项前瞻性研究，以确定入住医院的急性中风患者的护理费用。中风被分为蛛网膜下腔出血（SAH）、脑实质内出血（IPH）、非腔隙性梗死（NLC）、腔隙性梗死（LAC）和短暂性脑缺血发作（TIA）。计算患者接受的各项服务的护理费用。在研究期间，1美元 = 1.50新加坡元。共研究了426例患者。平均住院时间（LOS）为17天。平均每次出院费用为7547新加坡元。病房费用占38.2%，放射学检查占14.5%，医生诊疗费占10.3%，药品占8.4%，治疗占7.3%。费用与住院时间高度相关，r(2) = 0.73。平均每次出院费用分别为：SAH 28539新加坡元，IPH 14398新加坡元，NLC 7476新加坡元，LAC 3517新加坡元，TIA 1962新加坡元。中风患者的首次住院费用与住院时间高度相关。大部分费用归因于病房住院费用。每次出院费用以SAH最高，其次依次为IPH、NLC、LAC、TIA。