Evidence map›Paper›PMID 35433849›Full record

ArticleFrontiers in cardiovascular medicine2022

Cost Utility Analysis of Multidisciplinary Postacute Care for Stroke: A Prospective Six-Hospital Cohort Study.

Yu-Ching Chen, Yu-Jo Yeh, Chung-Yuan Wang, Hsiu-Fen Lin, Ching-Huang Lin, Hong-Hsi Hsien, Kuo-Wei Hung, Jung-Der Wang, Hon-Yi Shi

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Efficacy and Cost over 12 Hospitalization Weeks of Postacute Care for Stroke.International journal of environmental research and public health · 2023
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 2 countries.

Yu-Ching ChenDepartment of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, Kaohsiung, Taiwan.
Yu-Jo YehDepartment of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, Kaohsiung, Taiwan.
Chung-Yuan WangDepartment of Physical Medicine and Rehabilitation, Pingtung Christian Hospital, Pingtung, Taiwan.
Hsiu-Fen LinDepartment of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Ching-Huang LinDivision of Neurology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Hong-Hsi HsienDepartment of Internal Medicine, St. Joseph Hospital, Kaohsiung, Taiwan.
Kuo-Wei HungDivision of Neurology, Department of Internal Medicine, Yuan's General Hospital, Kaohsiung, Taiwan.
Jung-Der WangDepartment of Public Health, College of Medicine, National Cheng-Kung University, Tainan, Taiwan.
Hon-Yi ShiDepartment of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, Kaohsiung, Taiwan.
Kaohsiung Medical University · TWChina Medical University Hospital · TWKaohsiung Veterans General Hospital · TWMeiho University · TWNational Cheng Kung University · TWSt. Joseph Hospital · USYuan's General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Few studies have compared the optimal duration and intensity of organized multidisciplinary neurological/rehabilitative care delivered in a regional/district hospital with the standard rehabilitative care delivered in the general neurology/rehabilitation ward of a medical center. This study measured functional outcomes and conducted cost-utility analysis of an organized multidisciplinary postacute care (PAC) project in secondary care compared with standard rehabilitative care delivered in tertiary care. Methods: This prospective cohort study enrolled 1,476 patients who had a stroke between March 2014 and March 2018 and had a modified Rankin scale score of 2-4. After exact matching for age ± 1 year, sex, year of stroke diagnosis, nasogastric tube, and Foley catheter and propensity score matching for the other covariates, we obtained 120 patients receiving PAC (the PAC group) from four regional/district hospitals and 120 patients not receiving PAC (the non-PAC group) from two medical centers. Results: At baseline, the non-PAC group showed significantly better functional outcomes than the PAC group, including EuroQol-5 dimensions (EQ-5D), Mini-Mental State Examination (MMSE) and Barthel index (BI). During weeks 7-12 of rehabilitation, improvements in all functional outcomes were significantly larger in the PAC group ( Conclusions: The PAC project saved costs and significantly improved the functional outcomes of patients with stroke with slight to moderately severe disabilities. Randomized control trials are required to corroborate these results.

Indexed as

cost savingcost-utilityincremental cost-utility ratiospostacute carestroke

Identifiers

PMID35433849
PMCPMC9007246
OpenAlexW4220797920

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.