Economic Aspects of Post-Stroke Rehabilitation: A Retrospective Data at a Traditional Medicine Hospital in VietnamCorrespondence Address :
Trung Quang Vo,
Department of Pharmacy Administration, Faculty of Pharmacy, University of Medicine and Pharmacy at Ho Chi Minh City,
Ho Chi Minh City-700000, Vietnam.
Introduction: Stroke is the leading cause of disability in the world and places an economic burden on the healthcare systems worldwide. About 200,000 stroke patients are diagnosed annually in Vietnam, with 50% mortality, and only 10% of stroke patients recover completely and return to normal life.
Aim: To evaluate the economic burden of stroke from a hospital perspective and to extrapolate these costs to southern Vietnam and the whole country.
Materials and Methods: A retrospective study was conducted from January 2014 to December 2016 at a public hospital. Patient information was taken from the hospital electronic medical records. The input was ICD-10 code and treatment year, the output was direct medical cost, which included consumer material, diagnosis, hospital bed, laboratory test, operation, medication and other services.
Results: Of 1134 patients examined during the period from 2014-2016, 57.9% were male. The average age of rehabilitation after stroke patient was 61.7Â±12.0 years old. The average hospital stay was 41.9Â±46.4 days. The most common disease after stroke was hypertension (50.4%). Total direct medical costs on 1,134 patients were 985,701.5 USD and average of 869.2Â±1,181.4 USD per patient per year. The costs between two patients group, living in rural and living in urban, was statistically different.
Conclusion: Rehabilitation after stroke places a severe economic burden in Vietnam. The probable economic value of rehabilitation after stroke management is significant. As such, there is a need for an updated evaluation of the economic impact of post-stroke rehabilitation in Vietnam that also includes more regions within the country and adheres to the new guidelines and recommendations.
Direct cost, Economic analysis, Hospital, Rehabilitation, Stroke, Vietnam
Date of Submission: Jan 26, 2018
Date of Peer Review: Mar 26, 2018
Date of Acceptance: Mar 30, 2018
Date of Publishing: Jun 15, 2018
Financial OR OTHER COMPETING INTERESTS: None.
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