Direct Medical Cost of Hospitalization for Acute Stroke in Lebanon: A Prospective Incidence-Based Multicenter Cost-of-Illness Study

Rachel R. Abdo*, Halim M. Abboud, Pascale G. Salameh, Najo A. Jomaa, Rana G. Rizk, Hassan H. Hosseini

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Stroke is a major social and health problem posing heavy burden on national economies. We provided detailed financial data on the direct in-hospital cost of acute stroke care in Lebanon and evaluated its drivers. This was an observational, quantitative, prospective, multicenter, incidence-based, bottom-up cost-of-illness study. Medical and billing records of stroke patients admitted to 8 hospitals in Beirut over I year were analyzed. Direct medical costs were calculated, and cost drivers were assessed using a multivariable linear regression analysis. In total, 203 stroke patients were included (male: 58%; mean age: 68.8 +/- 12.9 years). The direct in-hospital cost for all cases was US$1 413 069 for 2626 days (US$538 per in-hospital day). The average in-hospital cost per stroke patient was US$6961 +/- 15 663. Hemorrhagic strokes were the most costly, transient ischemic attack being the least costly. Cost drivers were hospital length of stay, intensive care unit length of stay, type of stroke, stroke severity, modified Rankin Scale, third party payer, surgery, and infectious complications. Direct medical cost of acute stroke care represents high financial burden to Lebanese health system. Development of targeted public health policies and primary prevention activities need to take priority to minimize stroke admission in future and to contain this cost.
Original languageEnglish
Article number0046958018792975
Pages (from-to)1-11
Number of pages11
JournalInquiry-The Journal of Health Care Organization Provision and Financing
Volume55
DOIs
Publication statusPublished - 15 Aug 2018

Keywords

  • cost of illness
  • hospital costs
  • stroke
  • Lebanon
  • prospective studies
  • health policy
  • incidence
  • regression analysis
  • humans
  • ACUTE ISCHEMIC-STROKE
  • AMERICAN-HEART-ASSOCIATION
  • INTRACEREBRAL HEMORRHAGE
  • CEREBROVASCULAR EVENTS
  • RESOURCE UTILIZATION
  • INPATIENT COSTS
  • UNIT CARE
  • MANAGEMENT
  • GUIDELINE
  • MORTALITY
  • STATEMENT

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