Bergman L, van der Meulen J H, Limburg M, Habbema J D
Department of Public Health, Erasmus University, Rotterdam, Netherlands.
Stroke. 1995 Oct;26(10):1830-6. doi: 10.1161/01.str.26.10.1830.
Stroke causes high morbidity and mortality. The aging of the population further increases the demands on healthcare costs.
We estimated the lifetime direct costs of care of first-ever stroke patients in the Netherlands in 1991 using epidemiological data from national and international studies. In addition, we examined the effect of an aging population on future healthcare costs.
The lifetime costs for 24,007 first-ever stroke patients are estimated to be 1870 million Dutch guilders (Dfl) (1 Dfl = 0.53 US dollar, 1991). Per-person costs are higher for women (83,000 Dfl) than for men (71,000 Dfl). The major cost component of first-year costs is hospital costs (45%), while nursing home costs dominate lifetime costs (50%). An increase of the elderly population older than 65 years of 27% between 1991 and 2010 might lead to a parallel increase of total costs of 30%, or 1.5% per year.
Long-term care rather than acute care dominates the lifetime costs for stroke patients now and in the future.
中风导致高发病率和高死亡率。人口老龄化进一步增加了医疗保健成本方面的需求。
我们利用来自国内和国际研究的流行病学数据，估算了1991年荷兰首次中风患者的终身直接护理成本。此外，我们研究了人口老龄化对未来医疗保健成本的影响。
24,007例首次中风患者的终身成本估计为18.7亿荷兰盾（1荷兰盾 = 0.53美元，1991年）。女性的人均成本（83,000荷兰盾）高于男性（71,000荷兰盾）。第一年成本的主要组成部分是医院成本（45%），而疗养院成本在终身成本中占主导地位（50%）。1991年至2010年期间，65岁以上老年人口增加27%，可能会导致总成本相应增加30%，即每年增加1.5%。
无论是现在还是未来，中风患者的终身成本中，长期护理而非急性护理占主导地位。
