ArticleNeurology2015
Hospital costs of ischemic stroke and TIA in the Netherlands.
Article in Neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Costs of clinical events in type 2 diabetes mellitus patients in the Netherlands: A systematic review.PloS one · 2019Pooled it
- Imaging Markers of Post-Stroke Depression and Apathy: a Systematic Review and Meta-Analysis.Neuropsychology review · 2017Pooled it
- A Cardiovascular Care Pathway Supported by Remote Patient Management in Dutch Primary Care: Cost-Effectiveness, Budget Impact, and Workload Analysis.JMIR mHealth and uHealth · 2026Article
- Cost-effectiveness of CT perfusion, low-field MRI, and delayed high-field MRI in emergency department patients with dizziness concerning for stroke.Neuroradiology · 2026Article
- Prolonged Hospital Length of Stay Does Not Improve Functional Outcome in Acute Ischemic Stroke.Neurology and therapy · 2025Article
- How health risk factors affect inpatient costs among adults with stroke in China: the mediating role of length of stay.BMC geriatrics · 2024Article
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- Drivers of healthcare costs in patients with ischaemic stroke: a hospital-based retrospective cohort study.BMJ open · 2023Article
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- Cost-effectiveness of a photopethysmographic procedure for screening for atrial fibrillation in 6 European countries.Health economics review · 2022Article
- Cost-effectiveness of short-protocol emergency brain MRI after negative non-contrast CT for minor stroke detection.European radiology · 2022Article
- Costs of Stroke and Incidence of First Diagnosis of Atrial Fibrillation at Time of Stroke. Neurology Ward Hospital Poznań, Poland 2018.Healthcare (Basel, Switzerland) · 2021Article
- Societal Cost of Ischemic Stroke in Romania: Results from a Retrospective County-Level Study.Brain sciences · 2021Article
- Regional Differences in Hospital Costs of Acute Ischemic Stroke in China: Analysis of Data From the Chinese Acute Ischemic Stroke Treatment Outcome Registry.Frontiers in public health · 2021Article
- Functional outcome, in-hospital healthcare consumption and in-hospital costs for hospitalised traumatic brain injury patients: a Dutch prospective multicentre study.Acta neurochirurgica · 2020Observational
- 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
- Costs of hospitalization for stroke from two urban health insurance claims data in Guangzhou City, southern China.BMC health services research · 2019Article
- Article
- Factors associated with late arrival of acute stroke patients to emergency department in Saudi Arabia.SAGE open medicine · 2018Article
- Impact of intravenous thrombolysis on length of hospital stay in cases of acute ischemic stroke.Neuropsychiatric disease and treatment · 2018Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThere have been no ischemic stroke costing studies since major improvements were implemented in stroke care. We therefore determined hospital resource use and costs of ischemic stroke and TIA in the Netherlands for 2012.
methodsWe conducted a retrospective cost analysis using individual patient data from a national diagnosis-related group registry. We analyzed 4 subgroups: inpatient ischemic stroke, inpatient TIA, outpatient ischemic stroke, and outpatient TIA. Costs of carotid endarterectomy and costs of an extra follow-up visit were also estimated. Unit costs were based on reference prices from the Dutch Healthcare Insurance Board and tariffs provided by the Dutch Healthcare Authority. Linear regression analysis was used to examine the association between hospital costs and various patient and hospital characteristics.
resultsA total of 35,903 ischemic stroke and 21,653 TIA patients were included. Inpatient costs were €5,328 ($6,845) for ischemic stroke and €2,470 ($3,173) for TIA. Outpatient costs were €495 ($636) for ischemic stroke and €587 ($754) for TIA. Costs of carotid endarterectomy were €6,836 ($8,783). Costs of inpatient days were the largest contributor to hospital costs. Age, hospital type, and region were strongly associated with hospital costs.
conclusionsHospital costs are higher for inpatients and ischemic strokes compared with outpatients and TIAs, with length of stay (LOS) the most important contributor. LOS and hospital costs have substantially declined over the last 10 years, possibly due to improved hospital stroke care and efficient integrated stroke services.
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