Patients' productivity losses and informal care costs related to ischemic stroke: a French population‐based study

2020 ◽  
Author(s):  
M. Barral ◽  
H. Rabier ◽  
A. Termoz ◽  
H. Serrier ◽  
C. Colin ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Informal Care ◽  
Population Based ◽  
French Population ◽  
Population Based Study ◽  
Productivity Losses ◽  
Informal Care Costs ◽  
Care Costs

COSTS OF INFORMAL CARE FOR PATIENTS IN ADVANCED HOME CARE: A POPULATION-BASED STUDY

2003 ◽  
Vol 19 (4) ◽  
pp. 656-663 ◽  
Author(s):  
Agneta Andersson ◽  
John Carstensen ◽  
Lars-Åke Levin ◽  
Bengt Göran Emtinger
Keyword(s):  
Home Care ◽  
Informal Care ◽  
Leisure Time ◽  
Patient Characteristics ◽  
Population Based ◽  
Informal Care Costs ◽  
The Cost ◽  
Formal Caregiver ◽  
Advanced Home Care ◽  
Care Costs

Objectives: Several studies have sought to analyze the cost-effectiveness of advanced home care and home rehabilitation. However, the costs of informal care are rarely included in economic appraisals of home care. This study estimates the cost of informal care for patients treated in advanced home care and analyses some patient characteristics that influence informal care costs.Methods: During one week in October 1995, data were collected on all 451 patients in advanced home care in the Swedish county of Östergötland. Costs were calculated by using two models: one including leisure time, and one excluding leisure time. Multiple regression analysis was used to analyze factors associated with costs of informal care.Results: Seventy percent of the patients in the study had informal care around the clock during the week investigated. The patients had, on average, five formal care visits per week, each of which lasted for almost half an hour. Thus, the cost of informal care constituted a considerable part of the cost of advanced home care. When the cost of leisure time was included, the cost of informal care was estimated at SEK 5,880 per week per patient, or twice as high as total formal caregiver costs. When leisure time was excluded, the cost of informal care was estimated at SEK 3,410 per week per patient, which is still 1.2 times higher than formal caregiver costs (estimated at SEK 2,810 per week per patient). Informal care costs were higher among patients who were men, who were younger, who had their own housing, and who were diagnosed with cancer.Conclusions: Studies of advanced home care that exclude the cost of informal care substantially underestimate the costs to society, regardless of whether or not the leisure time of the caregiver is included in the calculations.

1091 How to explain the improvement in survival for colorectal cancer? A French population-based study

2003 ◽  
Vol 1 (5) ◽  
pp. S326-S327 ◽  
Author(s):  
E. Mitry ◽  
A.M. Bouvier ◽  
J. Estève ◽  
J. Falvre
Keyword(s):  
Colorectal Cancer ◽  
Population Based ◽  
French Population ◽  
Population Based Study ◽  
Improvement In Survival

scholarly journals Incidence and mortality of ischemic stroke subtypes in Joinville, Brazil: a population-based study

2015 ◽  
Vol 73 (8) ◽  
pp. 648-654 ◽  
Author(s):  
Marcos C. Lange ◽  
Norberto L. Cabral ◽  
Carla H. C. Moro ◽  
Alexandre L. Longo ◽  
Anderson R. Gonçalves ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Population Based ◽  
Large Artery ◽  
Vessel Occlusion ◽  
Population Based Study ◽  
Incidence And Mortality ◽  
One Year ◽  
Undetermined Etiology ◽  
And Control ◽  
Adjusted Incidence

Aims To measure the incidence and mortality rates of ischemic stroke (IS) subtypes in Joinville, Brazil. Methods All first-ever IS patients that occurred in Joinville from January 2005 to December 2006 were identified. The IS subtypes were classified by the TOAST criteria, and the patients were followed-up for one year after IS onset. Results The age-adjusted incidence per 100,000 inhabitants was 26 (17-39) for large-artery atherosclerosis (LAA), 17 (11-27) for cardioembolic (CE), 29 (20-41) for small vessel occlusion (SVO), 2 (0.6-7) for stroke of other determined etiology (OTH) and 30 (20-43) for stroke of undetermined etiology (UND). The 1-year mortality rate per 100,000 inhabitants was 5 (2-11) for LAA, 6 (3-13) for CE, 1 (0.1-6) for SVO, 0.2 (0-0.9) for OTH and 9 (4-17) for UND. Conclusion In the population of Joinville, the incidences of IS subtypes were similar to those found in other populations. These findings highlight the importance of better detection and control of atherosclerotic risk factors.

Burden of first-ever ischemic stroke in the oldest old: Evidence from a population-based study

Neurology ◽  
2004 ◽  
Vol 62 (1) ◽  
pp. 77-81 ◽  
Author(s):  
C. Marini ◽  
M. Baldassarre ◽  
T. Russo ◽  
F. De Santis ◽  
S. Sacco ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Oldest Old ◽  
Population Based ◽  
Population Based Study ◽  
Old Evidence

scholarly journals Risk of Ischemic Stroke in Patients With Non-Valvular Atrial Fibrillation Not Receiving Oral Anticoagulants　― Korean Nationwide Population-Based Study ―

2017 ◽  
Vol 81 (8) ◽  
pp. 1158-1164 ◽  
Author(s):  
Si-Hyuck Kang ◽  
Eue-Keun Choi ◽  
Kyung-Do Han ◽  
So-Ryoung Lee ◽  
Woo-Hyun Lim ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Ischemic Stroke ◽  
Oral Anticoagulants ◽  
Population Based ◽  
Population Based Study

scholarly journals A Population-Based Study of 30-day Incidence of Ischemic Stroke Following Surgical Neck Dissection

Medicine ◽  
2015 ◽  
Vol 94 (33) ◽  
pp. e1106 ◽  
Author(s):  
S. Danielle MacNeil ◽  
Kuan Liu ◽  
Amit X. Garg ◽  
Samantha Tam ◽  
David Palma ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Neck Dissection ◽  
Population Based ◽  
Population Based Study

scholarly journals Describing the characteristics and healthcare use of high-cost acute care users at the end of life: a pan-Canadian population-based study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Danial Qureshi ◽  
Sarina Isenberg ◽  
Peter Tanuseputro ◽  
Rahim Moineddin ◽  
Kieran Quinn ◽  
...  
Keyword(s):  
End Of Life ◽  
Acute Care ◽  
Significant Proportion ◽  
Population Based ◽  
Fiscal Year ◽  
Healthcare Use ◽  
Population Based Study ◽  
Canadian Population ◽  
Alternate Level Of Care ◽  
Care Costs

Abstract Background A minority of individuals use a large portion of health system resources, incurring considerable costs, especially in acute-care hospitals where a significant proportion of deaths occur. We sought to describe and contrast the characteristics, acute-care use and cost in the last year of life among high users and non-high users who died in hospitals across Canada. Methods We conducted a population-based retrospective-cohort study of Canadian adults aged ≥18 who died in hospitals across Canada between fiscal years 2011/12–2014/15. High users were defined as patients within the top 10% of highest cumulative acute-care costs in each fiscal year. Patients were categorized as: persistent high users (high-cost in death year and year prior), non-persistent high users (high-cost in death year only) and non-high users (never high-cost). Discharge abstracts were used to measure characteristics and acute-care use, including number of hospitalizations, admissions to intensive-care-unit (ICU), and alternate-level-of-care (ALC). Results We identified 191,310 decedents, among which 6% were persistent high users, 41% were non-persistent high users, and 46% were non-high users. A larger proportion of high users were male, younger, and had multimorbidity than non-high users. In the last year of life, persistent high users had multiple hospitalizations more often than other groups. Twenty-eight percent of persistent high users had ≥2 ICU admissions, compared to 8% of non-persistent high users and only 1% of non-high users. Eleven percent of persistent high users had ≥2 ALC admissions, compared to only 2% of non-persistent high users and < 1% of non-high users. High users received an in-hospital intervention more often than non-high users (36% vs. 19%). Despite representing only 47% of the cohort, persistent and non-persistent high users accounted for 83% of acute-care costs. Conclusions High users – persistent and non-persistent – are medically complex and use a disproportionate amount of acute-care resources at the end of life. A greater understanding of the characteristics and circumstances that lead to persistently high use of inpatient services may help inform strategies to prevent hospitalizations and off-set current healthcare costs while improving patient outcomes.

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