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.

Friday, August 2, 2024

Cost-Effectiveness Analysis of Rehabilitation Methods for Stroke Survivors

 WHY WAS THIS RESEARCH DONE? Survivors don't give a flying fuck about cost! THEY WANT 100% RECOVERY! GET THERE or you're fired!

Cost-Effectiveness Analysis of Rehabilitation Methods for Stroke Survivors

authors:

avatar Farzaneh Miri ORCID 1 , avatar Nader Jahanmehr ORCID 2 , 3 , * , avatar Reza Goudarzi ORCID 4

School of Management and Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Prevention of Cardiovascular Disease Research Center, Shahid Beheshti University of Medical Science, Tehran, Iran
Virtual School of Medical Education and Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
Middle East Journal of Rehabilitation and Health Studies: Vol.11, issue 4; e141716
published online: July 29, 2024
article type: Research Article
received: October 11, 2023
revised: July 2, 2024
accepted: July 6, 2024
DOI: https://doi.org/10.5812/mejrh-141716

how to cite: Miri F, Jahanmehr N, Goudarzi R. Cost-Effectiveness Analysis of Rehabilitation Methods for Stroke Survivors. Middle East J Rehabil Health Stud. 2024;11(4):e141716. https://doi.org/10.5812/mejrh-141716.

Abstract

Background:

One of the challenges in stroke management is how to provide rehabilitation services to stroke patients in Iran.

Objectives:

This study aimed to evaluate and compare the cost-effectiveness of rehabilitation interventions for stroke patients in three settings: hospitals, stroke units, and homes.

Methods:

This cross-sectional study was conducted from the perspective of the health system. A Markov model with a 20-year time horizon and 3-month cycles was used to analyze costs and outcomes. Cost data were collected from 210 patients undergoing rehabilitation in hospitals, homes, or stroke units. The cost-effectiveness analysis (CEA) was conducted by calculating the incremental cost-effectiveness ratio (ICER) using Tree Age software.

Results:

The average rehabilitation cost for the home strategy (2955 ± 48.18) and stroke unit (11424, 7233) per QALY, respectively. The ICERs for stroke unit and home rehabilitation relative to hospital rehabilitation were
2145 per QALY, respectively.

Conclusions:

According to the results, the home-based rehabilitation strategy is more cost-effective than hospital and stroke unit rehabilitation strategies. Given the high rates of stroke and its associated costs in Iran, it is suggested that policymakers lay the groundwork for providing these services at home.
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