REALLY? You think survivors care about costs rather than recovery? I'd have all involved fired for not working on the only goal in stroke. 100% RECOVERY.
Healthcare costs of post-stroke oropharyngeal dysphagia and its complications: malnutrition and respiratory infections
First published: 27 June 2021
This article has been accepted for publication and
undergone full peer review but has not been through the copyediting,
typesetting, pagination and proofreading process, which may lead to
differences between this version and the Version of Record. Please cite
this article as doi:10.1111/ene.14998
Abstract
Background
The healthcare economic costs of post-stroke
oropharyngeal dysphagia (OD) are not fully understood. The purpose of
this study is to assess the acute, sub-acute and long-term costs related
to post-stroke OD and its main complications (malnutrition and
respiratory infections).
Methods
A cost of illness study of patients admitted to Mataró
Hospital (Catalonia, Spain) from May 2010 to September 2014 with a
stroke diagnosis was performed. OD, malnutrition and respiratory
infections were assessed during hospitalization and follow-up (3 and 12
months). Hospitalization and long-term costs were measured from hospital
and health care system perspectives. Multivariate linear regression
analysis was performed to assess the independent effect of OD,
malnutrition, and respiratory infections on healthcare costs during
hospitalization, and at 3- and 12-month follow-up.
Results
395 patients were included of which 178 had OD at
admission. Patients with OD concurred major total in-hospital costs
(5,357.67±3,391.62 vs. 3,976.30±1,992.58 euros, p<0.0001), 3 months
costs (8,242.0±5,376.0 vs. 5,320.0±4,053.0 euros, p<0.0001) and 12
months costs (11,617.58±12,033.58 vs. 7,242.78±7,402.55 euros,
p<0.0001). OD was independently associated with a cost increase of
789.68 euros (p=0.011) during hospitalization and of 873.5 euros
(p=0.084) at 3 months but not at 12 months. However, patients with OD,
who were at risk of malnutrition or malnourished and suffered
respiratory infections concurred major mean costs compared with those
patients without OD (19,817.58±13,724.83 vs. 7,242.8±7,402.6 euros,
p<0.0004) at 12-months follow-up.
Conclusion
OD causes significant high economic costs during
hospitalization that strongly and significantly increase with the
development of malnutrition and respiratory infections at long-term
follow-up.
This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as doi:10.1111/ene.14998
Abstract
Background
The healthcare economic costs of post-stroke oropharyngeal dysphagia (OD) are not fully understood. The purpose of this study is to assess the acute, sub-acute and long-term costs related to post-stroke OD and its main complications (malnutrition and respiratory infections).
Methods
A cost of illness study of patients admitted to Mataró Hospital (Catalonia, Spain) from May 2010 to September 2014 with a stroke diagnosis was performed. OD, malnutrition and respiratory infections were assessed during hospitalization and follow-up (3 and 12 months). Hospitalization and long-term costs were measured from hospital and health care system perspectives. Multivariate linear regression analysis was performed to assess the independent effect of OD, malnutrition, and respiratory infections on healthcare costs during hospitalization, and at 3- and 12-month follow-up.
Results
395 patients were included of which 178 had OD at admission. Patients with OD concurred major total in-hospital costs (5,357.67±3,391.62 vs. 3,976.30±1,992.58 euros, p<0.0001), 3 months costs (8,242.0±5,376.0 vs. 5,320.0±4,053.0 euros, p<0.0001) and 12 months costs (11,617.58±12,033.58 vs. 7,242.78±7,402.55 euros, p<0.0001). OD was independently associated with a cost increase of 789.68 euros (p=0.011) during hospitalization and of 873.5 euros (p=0.084) at 3 months but not at 12 months. However, patients with OD, who were at risk of malnutrition or malnourished and suffered respiratory infections concurred major mean costs compared with those patients without OD (19,817.58±13,724.83 vs. 7,242.8±7,402.6 euros, p<0.0004) at 12-months follow-up.
Conclusion
OD causes significant high economic costs during hospitalization that strongly and significantly increase with the development of malnutrition and respiratory infections at long-term follow-up.
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