The 5-year direct medical cost of neonatal and childhood stroke in a population-based cohort

Abstract

Background: Despite increasing awareness of the long-term impact of pediatric stroke, there are

A Population-Based Study of Hospital Care Costs During 5 Years After Transient Ischemic Attack and Stroke

“…Daily searches of the local accident and emergency attendance register. 4. Monthly computerized searches of general practitioner diagnostic coding and hospital discharge codes.…”

“…Although not a health care cost, long-term institutionalization has been shown to be a major component of overall costs after stroke. 4 Third, our overall costs are only applicable to the United Kingdom and possibly to similar health care systems in which a high proportion of patients with TIA and minor stroke are investigated and treated in the outpatient setting. Our predictors of cost, however, are more likely to be generalizable to other health care settings.…”

“…[2][3][4][5][6] This lack of evidence on the level and predictors of long-term hospital costs after TIA and stroke does not allow for formal comparisons of outcome and cost between these conditions and other diseases, hampering and limiting decisions about the relative funding requirements for service provision and research. 7,8 In addition, estimates of long-term disease costs are valuable to other researchers, particularly as an input to decision-analytic models, which are becoming ever more popular to assess the cost-effectiveness of health care interventions.…”

Computer-Assisted Volumetric Measurement of Core Infarct Volume in Pediatric Patients: Feasibility for Clinical Use and Development of Quantitative Metrics for Outcome Prediction

“…[1][2][3][4][5][6] However, pediatric stroke remains under-recognized among health care providers; a lack of evidence-based treatment and management guidelines specific to the pediatric population further complicates this problem. 7,8 This represents a critical health care problem, given the potential cost to society in terms of life-years of disability and life-years lost in the face of increasing incidence of acute ischemic arterial infarction of children. 6,7,9,10 Recent studies support infarct volume quantification as a potential tool in the pediatric population for predicting clinical outcome.…”

“…7,8 This represents a critical health care problem, given the potential cost to society in terms of life-years of disability and life-years lost in the face of increasing incidence of acute ischemic arterial infarction of children. 6,7,9,10 Recent studies support infarct volume quantification as a potential tool in the pediatric population for predicting clinical outcome. [11][12][13] For example, Ganesan et al 14 observed that infarcts of Ͼ10% parenchymal volume on T2-weighted imaging were associated with poor outcomes.…”