Stroke, Vol 25, 2363-2369, Copyright © 1994 by American Heart Association
A Terent, LA Marke, K Asplund, B Norrving, E Jonsson and PO Wester
BACKGROUND AND PURPOSE: Cost-effectiveness analyses of stroke management
are hampered by paucity of economic data. We made an update of the direct
and indirect costs of stroke in Sweden (population, 8.5 million). METHODS:
Direct costs (ie, the costs for hospital and outpatient care and social
services) were estimated on the basis of two prospective population-based
studies of stroke and of two nationwide cross-sectional inventories of
bed-days and diagnoses. Indirect costs (ie, the costs for loss of
productivity and early retirement) were based on official statistics.
RESULTS: The direct annual costs of care for stroke patients in 1991
equaled 7836 million Swedish krona (SKr) ($1306 million in US dollars), and
the indirect costs, 2430 million SKr ($405 million). The cost of stroke
care was 1208 SKr ($201) per inhabitant in Sweden. The expected direct
costs per patient from first stroke to death were 440,000 SKr ($73,333).
When prestroke costs for other diseases and advanced age were subtracted,
the sum was reduced to 180,000 SKr ($30,000). CONCLUSIONS: Costs for
hospital and outpatient care and social services accounted for 76% of
Swedish stroke costs and for 24% of costs for loss of production and early
retirement. Only 41% of direct costs were stroke-related.
ARTICLES
Costs of stroke in Sweden. A national perspective
Department of Medicine, Uppsala University Hospital, Sweden.
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