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Titre : | The Excess Costs of Hospitalization for Acute Stroke in People With Communication Impairment: A Stroke123 Data Linkage Substudy (2023) |
Auteurs : | Emily L. Brogan ; Joosup Kim ; Rohan S. Grimley ; Sarah J. Wallace ; Caroline Baker ; Tharshanah Thayabaranathan ; Nadine E. Andrew ; Monique F. Kilkenny ; Erin Godecke ; Miranda L. Rose ; Dominique A. Cadilhac |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 6, 2023) |
Article en page(s) : | p. 942-949 |
Note générale : | https://doi.org/10.1016/j.apmr.2023.01.015 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Aphasie ; Coûts et analyse des coûts ; Dysarthrie ; Mémorisation et recherche des informations ; Réadaptation |
Résumé : | Objective To describe the costs of hospital care for acute stroke for patients with aphasia or dysarthria. Design Observational study from the Stroke123 project. Setting Data from patients admitted with stroke (2009-2013) from 22 hospitals in Queensland participating in the Australian Stroke Clinical Registry (AuSCR) were linked to administrative datasets. Participants Communication impairments were identified using International Classification of Diseases, 10th Revision, Australian Modification codes. Overall, 1043 of 4195 (25%) patients were identified with aphasia (49% were women; median age 78 years; 83% with ischemic stroke), and 1005 (24%) with dysarthria (42% were women; median age 76 years; 85% with ischemic stroke). Interventions Not applicable. Main Outcome Measures Linked patient-level, hospital clinical costing related to the stroke, were adjusted to 2013/2014 Australian dollars (AU$, US$ conversion x 0.691) using recommended national price indices and multivariable regression analysis with clustering by hospital performed. Results Compared with patients without aphasia, the median hospital costs/patient were greater for those with aphasia for medical (aphasia AU$2273 vs AU$1727, P<.001 nursing au vs p and allied health services similarly costs were greater for patients with dysarthria compared those without dysarthria. adjusted median total aphasia confidence interval to conclusions people communication impairment after stroke incur hospital in particular medical resources.> |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999323000904 |