Itemized Hospital Charges for Acute Cerebral Infarction Patients Influenced by Severity in an Academic Medical Center in Korea

Yoon, Sung Sang; Chang, Hyejung; Kwon, Young Dae

doi:10.3988/jcn.2012.8.1.58

Cited by 11 publications

(11 citation statements)

References 22 publications

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“…The results of our research indicated the possibility of overusing the limited health resources by some insured patients and the access to the health services might be unequal among different types of insured patients. Patients with death and transfer results had a higher cost due to the severity of illness [16]. Consistent with previous studies conducted in China, the charge was significantly higher at tertiary hospitals than for secondlevel hospitals [11,17,18].…”

Section: Discussionsupporting

confidence: 80%

Inpatient Cost of Stroke in Beijing: A Descriptive Analysis

et al. 2018

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Background: Stroke has been the leading cause of death in China and contributed almost one-third to stroke deaths worldwide. The rising cost of stroke treatment is of great concern, but has not been thoroughly studied. This study aimed to analyze stroke in-hospital charges by subtypes, age, and sex and investigate potential factors associated with the cost of per stay. Methods: The research was a retrospective observational study based on patients with a primary diagnosis of stroke from 31 hospitals in Beijing. Characteristics of total treatment cost and cost of per stay were analyzed. The potential influences on hospital charges were explored using a stepwise multiple regression model. Results: A total of 16,111 stroke in-patient admissions were identified among which 8.3% was subarachnoid hemorrhage, 22.4% intracerebral hemorrhage, and 69.1% cerebral infarction. The average length of stay (LoS) was 14.5 (11.9) days. The cost of per stay was USD 4,423.9 (6,684.4) among which the out-of-pocket expenses were USD 1,640.2 (3,118.0). Stroke type, age, medical insurance, treatment results, and hospital level were significantly associated with the cost of stroke (p < 0.001). Conclusion: Hospitalization cost of stroke was substantial. These findings provide health policymakers and healthcare professionals with evidence to help guide future spending.

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Section: Discussionsupporting

confidence: 80%

Inpatient Cost of Stroke in Beijing: A Descriptive Analysis

et al. 2018

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“…As demonstrated elsewhere [19, 22-24], LOHS was strongly, positively associated with inpatient charges for ischemic stroke. The average LOHS for our patients was 16 days and median LOHS was 14 days, considerably longer than that of other countries’ studies [12, 24, 25], which reported average LOHS values of 6–12 days.…”

Section: Discussionmentioning

confidence: 73%

“…The average LOHS for our patients was 16 days and median LOHS was 14 days, considerably longer than that of other countries’ studies [12, 24, 25], which reported average LOHS values of 6–12 days. Yoon et al [19] reported the acute ischemic stroke patients in Korea between 2003 and 2009, their study showed that the mean and median LOHSs were 15 and 10 days, respectively. Tu et al [23] studied the hospital charges for ischemic stroke in Japan between 1995 and 1999, they found that the mean (median) LOHS was 33 (30) days (range 2–155 days).…”

Section: Discussionmentioning

confidence: 99%

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Analysis of Hospital Charges of Inpatients with Acute Ischemic Stroke in Beijing, China, 2012–2015

et al. 2018

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Background: The study aimed to analyze the hospital charges of the inpatients with acute ischemic stroke in Beijing and determine the factors associated with hospital costs. Methods: Medical records of hospitalized patients with a primary diagnosis of ischemic stroke according to International Classification of Diseases 10th Revision codes were collected from 121 hospitals in Beijing from March 1, 2012, to February 28, 2015. Distribution characteristics of hospital charges for different hospital levels (level 2 hospitals and level 3 hospitals) and types (Western medicine hospitals and Chinese medicine hospitals) were studied. Linear regression analysis was used to examine the association among hospital costs and factors that influenced total hospital charges. Results: There were 158,781 admissions for ischemic stroke, 63.1% of the patients were male and their mean age was 67.7 ± 12.4 years, the median length of hospital stay (LOHS) was 13.5 days (interquartile range 9.9–18.1 days). The median hospital charge was 2,112 (1,436–3,147) US dollars. Of these, 46.7% were for medicine, 21.1% for laboratory and examination, and 16.3% for therapy. LOHS, hospital level, and pulmonary infection were key determinants of the hospital charges. Conclusions: The proportion of medicine fees for the ischemic stroke inpatients showed a downward trend during the period from 2012 to 2015, but medicine fees still accounted for the largest percentage of hospital charges in China. LOHS emerged to be the main determinant of the cost. Decreasing medicine fees and LOHS might be strategies to decrease hospital charges and reduce economic burden of stroke in China.

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“…[1][2][3][4][5] Among the clinical factors, the stroke severity has been identified as a major factor in the escalation of costs. [4][5][6][7][8][9][10] The ischemic stroke subtype classifications based on the underlying etiology can influence the treatment methods and process. [11] However, the observation in the earlier studies have been rather inconsistent with regard to the influence of stroke subtype on costs of acute ischemic stroke.…”

Section: Introductionmentioning

confidence: 99%