Basalt Rehabilitation/ Department of Orthopaedics, Rehabilitation, and Physical, Therapy, Leiden University Medical Center, AL Leiden, The Netherlands. E-mail:
J Rehabil Med. 2021 Jun 2;53(6):jrm00201. doi: 10.2340/16501977-2829.
To estimate societal costs and changes in health-related quality of life in stroke patients, up to one year after start of medical specialist rehabilitation.
Observational.
Consecutive patients who received medical specialist rehabilitation in the Stroke Cohort Outcomes of REhabilitation (SCORE) study.
Participants completed questionnaires on health-related quality of life (EuroQol EQ-5D-3L), absenteeism, out-of-pocket costs and healthcare use at start and end of rehabilitation and 6 and 12 months after start. Clinical characteristics and rehabilitation costs were extracted from the medical and financial records, respectively.
From 2014 to 2016 a total of 313 stroke patients completed the study. Mean age was 59 (standard deviation (SD) 12) years, 185 (59%) were male, and 244 (78%) inpatients. Mean costs for inpatient and outpatient rehabilitation were US$70,601 and US$27,473, respectively. For inpatients, utility (an expression of quality of life) increased significantly between baseline and 6 months (EQ-5D-3L 0.66-0.73, p = 0.01; visual analogue scale 0.77-0.82, p < 0.001) and between baseline and 12 months (visual analogue scale 0.77-0.81, p < 0.001).
One-year societal costs from after the start of rehabilitation in stroke patients were considerable. Future research should also include costs prior to rehabilitation. For inpatients, health-related quality of life, expressed in terms of utility, improved significantly over time.
评估接受医学专家康复治疗的中风患者在开始康复治疗后 1 年内的社会成本和健康相关生活质量的变化。
观察性研究。
连续接受医学专家康复治疗的中风患者参加了康复队列研究中的中风患者康复结果（SCORE）研究。
参与者在康复开始和结束时以及康复开始后 6 个月和 12 个月时，完成了健康相关生活质量（EuroQol EQ-5D-3L）、缺勤、自付费用和医疗保健使用情况的问卷。临床特征和康复费用分别从医疗和财务记录中提取。
2014 年至 2016 年，共有 313 名中风患者完成了研究。平均年龄为 59（标准差 12）岁，185 名（59%）为男性，244 名（78%）为住院患者。住院和门诊康复的平均费用分别为 70601 美元和 27473 美元。对于住院患者，在基线和 6 个月（EQ-5D-3L 0.66-0.73，p=0.01；视觉模拟评分 0.77-0.82，p<0.001）和基线与 12 个月（视觉模拟评分 0.77-0.81，p<0.001）之间，效用（生活质量的一种表现）显著增加。
中风患者康复治疗开始后 1 年内的社会总成本相当可观。未来的研究还应包括康复前的成本。对于住院患者，健康相关生活质量（以效用表示）随着时间的推移显著改善。
