Skip to main content

Inpatient costs, length of stay, and mortality for cerebrovascular events in community hospitals.

Publication ,  Journal Article
Reed, SD; Blough, DK; Meyer, K; Jarvik, JG
Published in: Neurology
July 24, 2001

BACKGROUND: Accurate estimates of inpatient cost, length of stay (LOS), and mortality are necessary for the development of economic models to estimate the cost-effectiveness of stroke-related treatments. Estimates based on data from academic institutions may not be generalizable to community hospitals. In this study, the authors estimated inpatient costs, LOS, and in-hospital mortality for patients with subarachnoid hemorrhage (SAH), intracerebral hemorrhage (ICH), ischemic cerebral infarction (ICI), and TIA who were treated in community hospitals. METHODS: The authors selected patients using International Classification of Diseases-9-Clinical Modification primary diagnosis codes from the HBSI EXPLORE database. They analyzed patient-level data and inpatient costs, derived from detailed utilization data, for all patients admitted to 137 community hospitals in 1998. Multivariate statistical techniques were used to examine patient-, hospital-, and outcome-related factors associated with inpatient costs. RESULTS: Patients with SAH incurred the highest average cost ($23,777, n = 1,124), followed by patients with ICH ($10,241, n = 3,139), ICI ($5,837, n = 18,740), and TIA ($3,350, n = 7,861). Patient subgroups ranked in the same order for average LOS at 11.5 days for SAH, 7.5 days for ICH, 5.9 days for ICI, and 3.4 days for TIA. Almost one third of patients with SAH (29.0%) and ICH (33.1%) died during hospitalization, whereas 7.0% with ICI and 0.2% with TIA died. For each event, as patient age increased, average costs consistently decreased. Also, average costs were higher among patients treated in community teaching hospitals compared to community nonteaching hospitals for each cerebrovascular event (10 to 29%). CONCLUSIONS: Inpatient costs, LOS, and mortality for patients with cerebrovascular disease are dependent on patient and hospital characteristics.

Duke Scholars

Published In

Neurology

DOI

ISSN

0028-3878

Publication Date

July 24, 2001

Volume

57

Issue

2

Start / End Page

305 / 314

Location

United States

Related Subject Headings

  • Neurology & Neurosurgery
  • Middle Aged
  • Male
  • Length of Stay
  • Inpatients
  • Humans
  • Hospitals, Community
  • Health Care Costs
  • Female
  • Cerebrovascular Disorders
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Reed, S. D., Blough, D. K., Meyer, K., & Jarvik, J. G. (2001). Inpatient costs, length of stay, and mortality for cerebrovascular events in community hospitals. Neurology, 57(2), 305–314. https://doi.org/10.1212/wnl.57.2.305
Reed, S. D., D. K. Blough, K. Meyer, and J. G. Jarvik. “Inpatient costs, length of stay, and mortality for cerebrovascular events in community hospitals.Neurology 57, no. 2 (July 24, 2001): 305–14. https://doi.org/10.1212/wnl.57.2.305.
Reed SD, Blough DK, Meyer K, Jarvik JG. Inpatient costs, length of stay, and mortality for cerebrovascular events in community hospitals. Neurology. 2001 Jul 24;57(2):305–14.
Reed, S. D., et al. “Inpatient costs, length of stay, and mortality for cerebrovascular events in community hospitals.Neurology, vol. 57, no. 2, July 2001, pp. 305–14. Pubmed, doi:10.1212/wnl.57.2.305.
Reed SD, Blough DK, Meyer K, Jarvik JG. Inpatient costs, length of stay, and mortality for cerebrovascular events in community hospitals. Neurology. 2001 Jul 24;57(2):305–314.

Published In

Neurology

DOI

ISSN

0028-3878

Publication Date

July 24, 2001

Volume

57

Issue

2

Start / End Page

305 / 314

Location

United States

Related Subject Headings

  • Neurology & Neurosurgery
  • Middle Aged
  • Male
  • Length of Stay
  • Inpatients
  • Humans
  • Hospitals, Community
  • Health Care Costs
  • Female
  • Cerebrovascular Disorders