Diestro Jose Danilo Bengzon, Omar Abdelsimar Tan, Sarmiento Robert Joseph Cruz, Enriquez Clare Angeli Guinto, Castillo Lennie Lynn Chua-De, Ho Beverly Lorraine, Khu Kathleen Joy Ong Lopez, Pascual V Jose Leonard Rivera
Department of Medical Imaging, Division of Diagnostic and Therapeutic Neuroradiology, St. Michael's Hospital, 7938University of Toronto, Toronto, Canada.
Section of Adult Neurology, Department of Neurosciences, College of Medicine and Philippine General Hospital, 54725University of the Philippines Manila, Manila, Philippines.
Int J Stroke. 2021 Jan;16(1):39-42. doi: 10.1177/1747493020906872. Epub 2020 Feb 19.
Determining the cost of hospitalization for acute stroke is important in the appropriate allocation of resources for public health facilities and in the cost effectiveness analysis of interventions. Despite being the second leading cause of mortality in the Philippines, there are no published data on the cost of stroke in the country.
The study aims to determine the in-hospitalization cost for stroke (IHCS) in a tertiary public hospital in the Philippines and identify the factors influencing IHCS.
The study was a retrospective review of the medical and billing records of the hospital. Adult patients admitted for acute stroke between 1 June 2017 and 31 May 2018 were included in the analysis. After the mean cost of stroke was determined, multivariate logistic regression analysis was done to determine demographic and clinical characteristics that were predictive of stroke cost.
A total of 863 patient records were analyzed. The median in-hospitalization cost for stroke was PHP 17,141.50 or US$329.52. Independent determinants of higher cost include male sex (p = 0.021), stroke type (hemorrhagic stroke, p = 0.001; subarachnoid hemorrhage, p < 0.001), lower GCS on admission (p = 0.023), surgical intervention (p < 0.001), intravenous thrombolysis (p < 0.001), infection (p < 0.001), length of hospital stay (p < 0.001), and mechanical ventilation (p = 0.008).
The study provided current data on the in-hospitalization cost of acute stroke in a public tertiary hospital in the Philippines. Male sex, stroke type, lower GCS on admission, surgical intervention, intravenous thrombolysis, infection, length of hospital stay, and mechanical ventilation were independent predictors of cost.
确定急性中风的住院费用对于公共卫生设施资源的合理分配以及干预措施的成本效益分析至关重要。尽管中风是菲律宾第二大死亡原因，但该国尚无关于中风成本的公开数据。
本研究旨在确定菲律宾一家三级公立医院中风的住院费用（IHCS），并确定影响IHCS的因素。
本研究是对该医院的医疗和计费记录进行的回顾性分析。纳入2017年6月1日至2018年5月31日期间因急性中风入院的成年患者进行分析。在确定中风的平均费用后，进行多因素逻辑回归分析，以确定可预测中风费用的人口统计学和临床特征。
共分析了863份患者记录。中风的住院费用中位数为17,141.50菲律宾比索或329.52美元。费用较高的独立决定因素包括男性（p = 0.021）、中风类型（出血性中风，p = 0.001；蛛网膜下腔出血，p < 0.001）、入院时格拉斯哥昏迷量表（GCS）评分较低（p = 0.023）、手术干预（p < 0.001）、静脉溶栓（p < 0.001）、感染（p < 0.001）、住院时间（p < 0.001）和机械通气（p = 0.008）。
本研究提供了菲律宾一家公立三级医院急性中风住院费用的当前数据。男性、中风类型、入院时GCS评分较低、手术干预、静脉溶栓、感染、住院时间和机械通气是费用的独立预测因素。
