Deans' stroke musings: Economic evaluation of transferring first-stroke survivors to rehabilitation wards: A 10-year longitudinal, population-based study

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Monday, March 16, 2020

Economic evaluation of transferring first-stroke survivors to rehabilitation wards: A 10-year longitudinal, population-based study

Useless, survivors don't give a damn about costs, they want to know what your 100% recovery results are. My god, the stupidity out there without survivors being in charge.

Economic evaluation of transferring first-stroke survivors to rehabilitation wards: A 10-year longitudinal, population-based study

Topics in Stroke Rehabilitation , Volume 27(1) , Pgs. 8-14.

NARIC Accession Number: J82907. What's this?
ISSN: 1074-9357.
Author(s): Chen, Chien-Min ; Yang, Yao-Hsu ; Lee, Meng ; Chen, Kai-Hua ; Huang, Shih-Shin.
Publication Year: 2020.
Number of Pages: 7.
Abstract: Study assessed the 10-year economic outcome of transferring first-stroke survivors to the rehabilitation ward. It examined the incremental costs per life year gained (ICLYG) for stroke survivors who were transferred to the rehabilitation ward (TR) as compared to that for those who underwent rehabilitation without being transferred to the rehabilitation ward (R) and those who did not undergo rehabilitation (NR). The differences in the daily medical expenditures among the three groups during the 10-year post-stroke period were examined. After balancing characteristics of the three groups, the data of 14,544 first-stroke survivors between 1999 and 2003 were collected. The medical expenditure of index hospitalization was the lowest and the survival period was the longest in the TR group. The ICLYG of TR vs. NR (reference) was −388.5 United States dollars per year (USD/year) and that of TR vs. R (reference) was −121.5 USD/year. The daily medical expenditure of the post-stroke survival period was significantly lower in the TR group (median 11.0) than in the R (median 14.2) and NR (median 19.5) groups. The 10-year post-stroke follow-up showed that transferring patients to the rehabilitation ward is more cost effective than rehabilitation without transfer to the rehabilitation ward and no rehabilitation.
Descriptor Terms: COST BENEFIT ANALYSIS, HEALTH CARE, LONGITUDINAL STUDIES, MEDICAL TREATMENT, OUTCOMES, REHABILITATION SERVICES, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Chen, Chien-Min , Yang, Yao-Hsu , Lee, Meng , Chen, Kai-Hua , Huang, Shih-Shin. (2020). Economic evaluation of transferring first-stroke survivors to rehabilitation wards: A 10-year longitudinal, population-based study. Topics in Stroke Rehabilitation , 27(1), Pgs. 8-14. Retrieved 3/16/2020, from REHABDATA database.

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