International Comparison of Poststroke Resource Use: A Longitudinal Analysis in Europe.
| dc.contributor.author | Matchar, David B | |
| dc.contributor.author | Bilger, Marcel | |
| dc.contributor.author | Do, Young K | |
| dc.contributor.author | Eom, Kirsten | |
| dc.date.accessioned | 2021-05-05T08:38:18Z | |
| dc.date.available | 2021-05-05T08:38:18Z | |
| dc.date.issued | 2015-10 | |
| dc.date.updated | 2021-05-05T08:38:18Z | |
| dc.description.abstract | BackgroundLong-term costs often represent a large proportion of the total costs induced by stroke, but data on long-term poststroke resource use are sparse, especially regarding the trajectory of costs by severity. We used a multinational longitudinal survey to estimate patterns of poststroke resource use by degree of functional disability and to compare resource use between regions.MethodsThe Survey of Health, Ageing and Retirement in Europe (SHARE) is a multinational database of adults 50 years and older, which includes demographic information about respondents, age when stroke first occurred, current activity of daily living (ADL) limitations, and health care resource use in the year before interview. We modeled resource use with a 2-part regression for number of hospital days, home nursing hours, and paid and unpaid home caregiving hours.ResultsAfter accounting for time since stroke, number of strokes and comorbidities, age, gender, and European regions, we found that poststroke resource use was strongly associated with ADL limitations. The duration since the stroke event was significantly associated only with inpatient care, and informal help showed significant regional heterogeneity across all ADL limitation levels.ConclusionsPoststroke physical deficits appear to be a strong driver of long-term resource utilization; treatments that decrease such deficits offer substantial potential for downline cost savings. Analyzing internationally comparable panel data, such as SHARE, provide valuable insight into long-term cost of stroke. More comprehensive international comparisons will require registries with follow-up, particularly for informal and formal home-based care. | |
| dc.identifier | S1052-3057(15)00345-6 | |
| dc.identifier.issn | 1052-3057 | |
| dc.identifier.issn | 1532-8511 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.publisher | Elsevier BV | |
| dc.relation.ispartof | Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association | |
| dc.relation.isversionof | 10.1016/j.jstrokecerebrovasdis.2015.06.020 | |
| dc.subject | Humans | |
| dc.subject | Hospitalization | |
| dc.subject | Regression Analysis | |
| dc.subject | Longitudinal Studies | |
| dc.subject | Aged | |
| dc.subject | Aged, 80 and over | |
| dc.subject | Middle Aged | |
| dc.subject | Health Care Costs | |
| dc.subject | Health Resources | |
| dc.subject | Europe | |
| dc.subject | Female | |
| dc.subject | Male | |
| dc.subject | Stroke | |
| dc.subject | Outcome Assessment, Health Care | |
| dc.title | International Comparison of Poststroke Resource Use: A Longitudinal Analysis in Europe. | |
| dc.type | Journal article | |
| duke.contributor.orcid | Matchar, David B|0000-0003-3020-2108 | |
| pubs.begin-page | 2256 | |
| pubs.end-page | 2262 | |
| pubs.issue | 10 | |
| pubs.organisational-group | School of Medicine | |
| pubs.organisational-group | Duke Clinical Research Institute | |
| pubs.organisational-group | Duke Global Health Institute | |
| pubs.organisational-group | Pathology | |
| pubs.organisational-group | Medicine, General Internal Medicine | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | Institutes and Centers | |
| pubs.organisational-group | University Institutes and Centers | |
| pubs.organisational-group | Institutes and Provost's Academic Units | |
| pubs.organisational-group | Clinical Science Departments | |
| pubs.organisational-group | Medicine | |
| pubs.publication-status | Published | |
| pubs.volume | 24 |
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