Type

Journal Article

Authors

Peter J Kelly
Miriam Wiley
David Williams
Eamon Dolan
Lorraine Kyne
Joseph Duggan
Bahman Honari
Orla Sheehan
Gillian Horgan
Elizabeth Callaly
and 6 others

Subjects

Medicine & Nursing

Topics
economics humans cost of illness female complications hospitals male stroke aged aged 80 and over residence characteristics health care costs middle aged atrial fibrillation

Acute hospital, community, and indirect costs of stroke associated with atrial fibrillation: population-based study. (2014)

Abstract No economic data from population-based studies exist on acute or late hospital, community, and indirect costs of stroke associated with atrial fibrillation (AF-stroke). Such data are essential for policy development, service planning, and cost-effectiveness analysis of new therapeutic agents. In a population-based prospective study of incident and recurrent stroke treated in hospital and community settings, we investigated direct (healthcare related) and indirect costs for a 2-year period. Survival, disability, poststroke residence, and healthcare use were determined at 90 days, 1 year, and 2 years. Acute hospital cost was determined using a case-mix approach, and other costs using a bottom-up approach (2007 prices). In 568 patients ascertained in 1 year (2006), the total estimated 2-year cost was $33.84 million. In the overall sample, AF-stroke accounted for 31% (177) of patients, but a higher proportion of costs (40.5% of total and 45% of nursing home costs). On a per-patient basis compared with non-AF-stroke, AF-stroke was associated with higher total (P<0.001) and acute hospital costs (P<0.001), and greater nursing home (P=0.001) and general practitioner (P<0.001) costs among 90-day survivors. After stratification by stroke severity in survivors, AF was associated with 2-fold increase in costs in patients with mild-moderate (National Institutes of Health Stroke Scale, 0-15) stroke (P<0.001) but not in severe stroke (National Institutes of Health Stroke Scale ≥16; P=0.7). In our population study, AF-stroke was associated with substantially higher total, acute hospital, nursing home, and general practitioner costs per patient. Targeted programs to identify AF and prevent AF-stroke may have significant economic benefits, in addition to health benefits.
Collections Ireland -> University College Dublin -> PubMed

Full list of authors on original publication

Peter J Kelly, Miriam Wiley, David Williams, Eamon Dolan, Lorraine Kyne, Joseph Duggan, Bahman Honari, Orla Sheehan, Gillian Horgan, Elizabeth Callaly and 6 others

Experts in our system

1
Peter J Kelly
University College Dublin
Total Publications: 35
 
2
David Williams
Royal College of Surgeons in Ireland
Total Publications: 82
 
3
Eamon Dolan
IT Blanchardstown
Total Publications: 42
 
4
Lorraine Kyne
University College Dublin
Total Publications: 25
 
5
Joseph Duggan
University College Dublin
Total Publications: 11
 
6
Orla C Sheehan
University College Dublin
Total Publications: 9
 
7
Gillian Horgan
University College Dublin
Total Publications: 11
 
8
Elizabeth Callaly
University College Dublin
Total Publications: 10