ArticleNeurology2010
The 5-year direct medical cost of neonatal and childhood stroke in a population-based cohort.
Article in Neurology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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Who cites it
31 citing papers in PubMed, 97 citations in OpenAlex.
- Article
- Australian Paediatric Acute Code Stroke study: study protocol for a quasi-experimental trial measuring the impact of Code Stroke protocols on time to diagnosis and access to reperfusion therapies.BMJ neurology open · 2026Article
- Article
- Caregiver determinants and capacity for participation in constraint-induced movement therapy.Frontiers in pediatrics · 2025Article
- Risk factors for pediatric ischemic stroke and intracranial hemorrhage: A national electronic health record based study.Heliyon · 2024Article
- Gut Microbiota Ecological and Functional Modulation in Post-Stroke Recovery Patients: An Italian Study.Microorganisms · 2023Article
- Pediatric Stroke in the Southern Region of Iran: A Retrospective Prognostic Cohort Study.Iranian journal of child neurology · 2023Article
- Changes in childhood stroke mortality from 1990 to 2019 in Brazil and its federative units.Scientific reports · 2022Article
- Neonatal Arterial Ischaemic Stroke: Advances in Pathologic Neural Death, Diagnosis, Treatment, and Prognosis.Current neuropharmacology · 2022Review
- Neonatal stroke surveillance study protocol in the United Kingdom and Republic of Ireland.Open medicine (Warsaw, Poland) · 2022Article
- Pediatric Patient with Ischemic Stroke: Initial Approach and Early Management.Children (Basel, Switzerland) · 2021Review
- Recanalization strategies in childhood stroke in Germany.Scientific reports · 2021Article
- Hospitalization Expenditures and Out-Of-Pocket Expenses in Patients With Stroke in Northeast China, 2015-2017: A Pooled Cross-Sectional Study.Frontiers in pharmacology · 2020Article
- Predicting Ischemic Risk Using Blood Oxygen Level-Dependent MRI in Children with Moyamoya.AJNR. American journal of neuroradiology · 2020Article
- Childhood Stroke: Awareness, Interest, and Knowledge Among the Pediatric Community.Frontiers in pediatrics · 2018Article
- Risk Factors of Pediatric Arterial Ischemic Stroke; A Regional Survey.International journal of preventive medicine · 2018Article
- Heart Disease and Stroke Statistics-2017 Update: A Report From the American Heart Association.Circulation · 2017Review
- Paediatric arterial ischemic stroke: acute management, recent advances and remaining issues.Italian journal of pediatrics · 2015Review
- Computer-assisted volumetric measurement of core infarct volume in pediatric patients: feasibility for clinical use and development of quantitative metrics for outcome prediction.AJNR. American journal of neuroradiology · 2015Article
- Out-of-pocket costs for childhood stroke: the impact of chronic illness on parents' pocketbooks.Pediatric neurology · 2015Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundDespite increasing awareness of the long-term impact of pediatric stroke, there are few estimates of the costs of care. We examined acute and 5-year direct costs of neonatal and childhood stroke in a population-based cohort in Northern California.
methodsWe obtained electronic cost data for 266 children with neurologist-confirmed strokes, and 786 age-matched stroke-free controls, within the population of all children (<20 years) enrolled in a large managed care plan from 1996 through 2003. Cost data included all inpatient and outpatient health service costs including care at out-of-plan facilities. Costs were assessed for 5 years after stroke, expressed in 2003 US dollars, and stratified by age at stroke onset (neonatal, defined as <29 days of life, vs childhood). Stroke costs were adjusted for costs in stroke-free age-matched controls.
resultsAverage adjusted 5-year costs for pediatric stroke are substantial: $51,719 for neonatal stroke and $135,161 for childhood stroke. The average cost of a childhood stroke admission was $81,869. The average birth admission cost for a neonatal stroke was $39,613; adjustment for control birth admission costs reduced this by only $4,792, suggesting the stroke accounted for 88% of costs. Even among neonates whose strokes were not recognized until later in childhood ("presumed perinatal strokes"), admission costs exceeded those of controls. Chronic costs were highest in the first year poststroke, but continued to exceed control costs even in the fifth year by an average of $2,016.
conclusionsThe economic burden of neonatal and childhood stroke is both large and sustained.
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Registered trials
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