Asil Talip, Celik Yahya, Sut Necdet, Celik Aygul Dogan, Balci Kemal, Yilmaz Arif, Karaduman Fatih
Department of Neurology, University of Trakya, Edirne, Turkey.
Clin Neurol Neurosurg. 2011 Feb;113(2):111-4. doi: 10.1016/j.clineuro.2010.09.014. Epub 2010 Oct 30.
The aim of this study is to examine the direct medical costs and outcomes of patients with stroke.
The records of the patients admitted with ischemic and hemorrhagic stroke to the University of Trakya, School of Medicine, Department of Neurology were reviewed retrospectively in year 2007. Direct medical costs (total costs, radiological, laboratory, medicine, and other) were calculated, additionally cost per life saved and per life-year saved were calculated for stroke patients.
The study group consisted of 328 patients (169 male/159 female) and mean age was 66.5 ± 12.4 years. Length of hospital stay was 10.7 ± 7.5 days. Mortality rate was 20.4% and the mRS score of the patients was 3.2 ± 2.1. The average cost of stroke was US$ 1677 ± 2964 (29.9% medicine, 19.9% laboratory, 12.8% neuroimaging, and 38% beds and staff). Cost per life saved and per life-year saved were US$ 2108 and US$ 1070, respectively.
This is the first study in order to determine direct medical cost of stroke in Turkey, therefore, it may be guideline for disease-cost management of stroke.
本研究旨在探讨中风患者的直接医疗费用及治疗结果。
回顾性分析2007年在恰纳卡莱奥森克兹马尔特大学医学院神经病学系收治的缺血性和出血性中风患者的病历。计算直接医疗费用（总费用、放射学检查、实验室检查、药物及其他费用），此外还计算了中风患者的每挽救一条生命的成本和每挽救一个生命年的成本。
研究组包括328例患者（男169例/女159例），平均年龄为66.5±12.4岁。住院时间为10.7±7.5天。死亡率为20.4%，患者的改良Rankin量表（mRS）评分为3.2±2.1。中风的平均费用为1677±2964美元（药物费用占29.9%，实验室检查费用占19.9%，神经影像学检查费用占12.8%，床位和医护人员费用占38%）。每挽救一条生命的成本和每挽救一个生命年的成本分别为2108美元和1070美元。
这是土耳其第一项确定中风直接医疗费用的研究，因此，它可能成为中风疾病成本管理的指导方针。
