Medical Direct Cost of Hospital Admission for Cerebrovascular Accident on Medical Recovery at the Sylvanus Olympio Teaching Hospital of Lom&amp;#233;

Balaka, Abago; Tchamdja, Toyi; Djagadou, K.A.; Assane, Hamadi; Nemi, Komi Dzidzonu; Djibril, Mohaman Awalou

doi:10.4236/ojim.2017.74018

Cited by 3 publications

(5 citation statements)

References 7 publications

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“…Only 60% of patients had radiology examinations since they were considered too expensive. Two studies have been conducted on the cost of stroke management in Togo, with both presenting practically the same costs [ 13 , 16 ]. In 2010, Guinhouya KM et al .…”

Section: Discussionmentioning

confidence: 99%

“…estimated the cost of stroke management at Sylvanus Olympio University Hospital in Lomé at an average of 445,512 CFA francs € (679.1) per patient [ 13 ], while in 2016, Balaka A et al . calculated the average cost at 312,245 CFA francs (€475.9) per patient for an average stay of 18.6 days [ 16 ]. In a study of 78 patients in Benin, Adoukonou et al .…”

Section: Discussionmentioning

confidence: 99%

“…Patients who are not affiliated to the social security system spend an average of 545,163 CFA francs (€831), a cost 3.6 times higher than the minimum wage in Gabon. In Togo, the cost of stroke care is 19 times higher than the minimum monthly salary of civil servants, i.e., 35,000 CFA francs (€53.3) [ 16 ]. The guaranteed interprofessional minimum wage (SMIG) in Cameroon is 28,216 CFA francs (€43) as of 2018.…”

Section: Discussionmentioning

confidence: 99%

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Assessment of the direct hospital cost of medical care for patients hospitalized for a stroke in Gabon

Lipenguet,

Ngoungou,

Ibinga

et al. 2023

Pan Afr Med J

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While the incidence of stroke is increasing in developing countries, resulting in an extremely high economic burden, very few costing studies have been carried out to date. This study aims to measure the direct hospital costs of stroke management in Gabon. The study adopts a retrospective approach, based on a review of patient records in the Neurology and Cardiology Departments of the University Hospital of Libreville (CHUL) between January 2018 and December 2019. It focuses on all patients received for stroke at the CHUL during the study period, regardless of the outcome, analyzing direct hospital costs. Three hundred and thirteen (313) patients were admitted during the period in question, 72.52% in neurology and 27.48% in cardiology. The average age was 58.44 (±13.73 years). Fifty-six percent (56.23%) had health coverage. Ischemic stroke was more common than hemorrhagic stroke, at 79.55% and 20.45%, respectively. The average expenditure per patient was estimated at 619,633 CFA francs (€944.62). From the point of view of social security coverage, the average out-of-pocket expense per patient was 147,140 CFA francs (€224.31), for a reimbursement of 422,883 CFA francs (€644.68). The average direct cost of stroke is very high for both patients and administrations. This argues for the implementation of prevention programs for the disease. The results of this study may be useful for work on the efficiency of such programs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Assessment of the direct hospital cost of medical care for patients hospitalized for a stroke in Gabon

Lipenguet,

Ngoungou,

Ibinga

et al. 2023

Pan Afr Med J

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Section: Introductionmentioning

confidence: 99%

“…5 In South Africa, the average per-patient emergency department visit associated cost due to acute stroke ranges from $283,500 to $485,000 per year. 6,7 A prolonged hospital stay and severe stroke underlie the highest mean direct medical cost in developing countries. 5 Stroke is a medical emergency and prompt evidencebased treatment has been shown to lower brain damage and associated complications.…”

Section: Introductionmentioning

confidence: 99%

In-hospital treatment outcomes of acute stroke and determinant factors in a teaching hospital in eastern Ethiopia

2023

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Objective: To assess the in-hospital mortality of acute stroke and determinant factors in a teaching hospital in eastern Ethiopia. Method: A retrospective review of medical records of patients admitted to Hiwot Fana Specialized University Hospital was conducted. Adult patients aged 18 years and older with a diagnosis of either ischemic or hemorrhagic stroke were included. Data were analyzed using SPSS version 21.0 (SPSS Inc., Chicago, IL, USA). Multiple logistic regression analysis was used to identify predictors of in-hospital mortality. Result: A total of 112 patients with acute stroke were included in the study and 56.0% of them were of hemorrhagic stroke. The mean age was 60.32 years and 61.6% were male. The mean length of hospitalization and the mean time of presentation from symptoms onset were 4.85 days and 33.64 h, respectively. The in-hospital mortality was 36.8% for ischemic stroke and 27% for hemorrhagic stroke. Aspiration pneumonia (35.0%), cerebral edema (17%), and seizure (14.3%) were the most common complications occurring during hospitalization. Atrial fibrillation (adjusted odds ratio = 15.45, 95% confidence interval: 1.089–219.2; p = 0.043) was the independent predictor of in-hospital mortality. Conclusion: Hemorrhagic stroke was predominant in the study sample. One-third of patients died in the hospital and the mortality rate was slightly higher in patients with ischemic stroke. Atrial fibrillation was the predominant risk factor for hospital mortality from acute stroke. There is a need to promote cardiovascular health, early recognition, and management of risk factors, and implement coordinated stroke care services to reduce premature death from stroke.

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Cost of Stroke Care at Public Hospitals in Brazzaville and Implication of Third Parties in Stroke Care Expenditure

Diatewa¹,

Mpandzou²,

Mokoko³

et al. 2022

WJNS

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Medical Direct Cost of Hospital Admission for Cerebrovascular Accident on Medical Recovery at the Sylvanus Olympio Teaching Hospital of Lomé

Cited by 3 publications

References 7 publications

Assessment of the direct hospital cost of medical care for patients hospitalized for a stroke in Gabon

Assessment of the direct hospital cost of medical care for patients hospitalized for a stroke in Gabon

In-hospital treatment outcomes of acute stroke and determinant factors in a teaching hospital in eastern Ethiopia

Cost of Stroke Care at Public Hospitals in Brazzaville and Implication of Third Parties in Stroke Care Expenditure

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