Feigenson J S, Feigenson W D, Gitlow H S, McCarthy M L, Greenberg S D
JAMA. 1978 Oct 20;240(17):1878-80.
Patients transferred to a regional stroke rehabilitation center from academic hospital centers (124 patients) and from community hospital centers (315 patients) were compared for outcome and cost of treatment. The two groups were matched for Amended International Classification of Diseases diagnostic category, age, sex, distribution of weakness, types of neurological deficits, time from the onset of the stroke symptoms to admission to the rehabilitation unit, and the concurrence of major medical problems thought to contribute to cerebrovascular disease. There was no statistically significant difference in functional outcome or length of stay, but acute health care costs for patients treated in community hospitals were about 50% less.
对从学术医院中心（124例患者）和社区医院中心（315例患者）转至地区性中风康复中心的患者进行了治疗结果和费用的比较。两组在修正的国际疾病分类诊断类别、年龄、性别、肌力分布、神经功能缺损类型、从中风症状发作到入住康复单元的时间，以及被认为导致脑血管疾病的主要医疗问题的并发情况方面进行了匹配。在功能结局或住院时间方面没有统计学上的显著差异，但社区医院治疗的患者的急性医疗费用约低50%。
