尼日利亚首次急性卒中单次住院期间神经影像学检查的费用负担
Cost burden of neuroimaging during one-time admission for first-ever acute stroke in Nigeria.
作者信息
Omisore Adeleye D, Komolafe Morenikeji A, Esan Oluwaseun T, Idowu Bukunmi M, Aderibigbe Adeniyi S, Abidoye Abdul-Majeed K, Onigbinde Stephen O
机构信息
Department of Radiology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria.
出版信息
Neurosciences (Riyadh). 2018 Apr;23(2):122-128. doi: 10.17712/nsj.2018.2.20170404.
OBJECTIVE
To determine the cost burden of Neuroimaging and its contribution to direct total hospitalization costs (HCs) during one-time admission for first-ever stroke.
METHODS
The clinical characteristics, direct itemised costs and total HCs for 170 consecutive patients with first-ever stroke, admitted at our public tertiary health facility over a 15-month period were evaluated.
RESULTS
The records of 170 stroke subjects were reviewed. The median total HCs for one-time admission per stroke patient was $183.30 with a median daily cost of $15.86. Median cost of radiological investigations was the highest among the categorized hospital costs. Among the radiological investigations, neuroimaging accounted for at least 99% of cost to patients.
CONCLUSION
The financial burden of radiological investigations, particularly neuroimaging, is high during one-time admission of patients with first-ever stroke in our environment.
目的
确定首次中风患者单次住院期间神经影像学检查的费用负担及其对直接住院总费用（HCs）的贡献。
方法
对在15个月期间于我们的公立三级医疗机构连续收治的170例首次中风患者的临床特征、直接分项费用和住院总费用进行了评估。
结果
对170例中风患者的记录进行了回顾。每位中风患者单次住院的住院总费用中位数为183.30美元，每日费用中位数为15.86美元。在分类的医院费用中，放射学检查的费用中位数最高。在放射学检查中，神经影像学检查至少占患者费用的99%。
结论
在我们所处的环境中，首次中风患者单次住院期间放射学检查，尤其是神经影像学检查的经济负担较高。
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