Process skill rather than motor skill seems to be a predictor of costs for rehabilitation after a stroke in working age; a longitudinal study with a 1 year follow up post discharge
2007

Predictors of Rehabilitation Costs After Stroke in Younger Patients

Sample size: 58 publication Evidence: moderate

Author Information

Author(s): Björkdahl Ann, Sunnerhagen Katharina Stibrant

Primary Institution: Institute of Neuroscience and Physiology-Rehabilitation Medicine, Göteborg University, Sweden

Hypothesis

Ability in activities of daily life and aphasia would influence costs.

Conclusion

Costs are high in this group of young stroke patients compared to other studies, partly due to the length of stay and partly to loss of productivity.

Supporting Evidence

  • Direct costs were influenced by process skill and presence of aphasia.
  • The total direct mean cost was 80,020 € and the indirect cost was 35,129 €.
  • Patients with severe aphasia had significantly higher costs compared to those without.

Takeaway

Young people who have a stroke spend a lot of money on recovery, especially if they have trouble speaking or planning tasks.

Methodology

Fifty-eight patients were followed for 1 year after stroke discharge, with costs calculated based on health care services used.

Potential Biases

The study may have selection bias as it only includes patients who agreed to participate.

Limitations

The sample size is relatively small, which may limit generalizability.

Participant Demographics

Median age of participants was 53, with 76% men and 24% women; 80% had co-morbidities.

Statistical Information

P-Value

0.007 for severe aphasia, 0.042 for process skill

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1472-6963-7-209

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