I'd fire anyone working on cost rather than getting recovery protocols created.
You'll want those 100% recovery protocols when you are the 1 in 4 per WHO that has a stroke!
The latest here:
Cardiac Rehabilitation for Persons with Stroke: A Cost-Effectiveness Analysis
Abstract
Objective
To
investigate the cost-effectiveness of a cardiac rehabilitation program
in individuals with stroke compared with customary care.
Design
A
Markov model was created using a 30-year time horizon, with cycle
lengths of 1 year to determine the effectiveness and cost-effectiveness
of a cardiac rehabilitation program in persons with stroke. Input
parameters were based on recently published literature. Health states
were defined as degree of disability evaluated by the modified Rankin
scale score. Costs were based on recent cost-effectiveness analyses and
inflated to 2024 US Dollars using the medical care component of the US
Consumer Price Index.
Setting
Outpatient ambulatory setting
Participants
Persons with mild disability after ischemic stroke
Intervention
A model comparing cardiac rehabilitation versus usual care was created.
Main Measures
Quality-adjusted
life years (QALYs) were used to measure the effectiveness of cardiac
rehabilitation versus usual care. The cost-effectiveness of cardiac
rehabilitation versus usual care was compared with respect to
incremental costs, incremental effectiveness, and incremental
cost-effectiveness ratios (ICERs).
Results
Cardiac
rehabilitation was the superior strategy, resulting in higher
incremental effectiveness of 3.28 QALY at an increased incremental cost
of $5704. The ICER was $1740/QALY. A two-way sensitivity analysis of
these variables had no change, with cardiac rehab remaining the optimal
strategy.
Conclusions
While
numerous studies and systematic analyses have reported compelling
evidence of the clinical benefits of cardiac rehabilitation for patients
with stroke, the current study contributes to the existing body of
literature, demonstrating that cardiac rehabilitation is also
cost-effective in the stroke population.
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