Factors predicting the total medical costs associated with first-ever ischeamic stroke patients transferred to the rehabilitation ward
Chien-Min Chen , Chia-Hao Chang, Hung-Chih Hsu, Chu-Hsu Lin , Kai-Hua Chen
Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Chiayi, 613 Puzih, Taiwan. E-mail: firstname.lastname@example.org
Objective: To investigate the predictors of total medical costs for first-ever ischaemic stroke patients transferred to the rehabilitation ward from the acute ward.
Patients: A total of 311 first-ever ischaemic stroke patients (mean age 68.9 (standard deviation (SD) 12.2) years).
Methods: Data, including common complications and medical events, from July 2002 to June 2012 were collected retrospectively from a regional hospital in Taiwan in order to study the potential predictors for medical costs. Significant variables from univariate analysis were included in a stepwise multivariate linear regression analysis.
Results: The mean total medical cost per patient was USD 4,606.80 (SD 2,926.10). The significant predictors for cost were days of total stay (coefficient: 70.3; 95% confidence interval (CI) = 56.4–84.3), impaired consciousness (coefficient: 1,031.3; 95% CI = 490.8–1,571.8), hypoalbuminaemia in the acute ward (coefficient: 2,045.1; 95% CI = 1,054.6–3,035.7), fever (coefficient: 927.0; 95% CI = 193.3–1,660.7), hypokalaemia (coefficient: 2,698.4; 95% CI = 660.5–4,736.4), and hyponatraemia (coefficient: 1,123.3; 95% CI = 72.2–2,174.5) in the rehabilitation ward (R2 = 0.416).
Conclusion: These findings can help clinicians to identify risk factors for total medical costs in these patients and reduce costs by minimizing some complications (hypoalbuminaemia, fever, hypokalaemia, and hyponatraemia).
Do you want to comment on this paper? The comments will show up here and if appropriate the comments will also separately be forwarded to the authors.
You need to login/create an account to comment on articles. Click here to login/create an account