Cost-effectiveness of stroke unit care followed by early supported discharge

Stroke

Volumn 40, Issue 1, 2009, Pages 24-29

  Saka, Ömer ^a   Serra, Victoria ^b   Samyshkin, Yevgeniy ^c   McGuire, Alistair ^b   Wolfe, Charles C D A ^a  

^a KING'S COLLEGE LONDON   (United Kingdom)

^b LONDON SCHOOL OF ECONOMICS   (United Kingdom)

^c IQVIA   (United States)

Author keywords

Cost; Cost effectiveness; Economics; Stroke; Stroke unit

Indexed keywords

ADULT; ARTICLE; CEREBROVASCULAR ACCIDENT; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; FEMALE; HEALTH CARE COST; HEALTH SERVICE; HOSPITAL DISCHARGE; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; STROKE UNIT; AGED; BRAIN ISCHEMIA; COST BENEFIT ANALYSIS; DAILY LIFE ACTIVITY; ECONOMICS; EMERGENCY HEALTH SERVICE; HOME CARE; INTENSIVE CARE UNIT; LENGTH OF STAY; MIDDLE AGED; MORTALITY; NURSING; OUTCOME ASSESSMENT; STATISTICS; STROKE; UNITED KINGDOM;

ACTIVITIES OF DAILY LIVING; AGED; BRAIN ISCHEMIA; COST-BENEFIT ANALYSIS; EMERGENCY MEDICAL SERVICES; FEMALE; GREAT BRITAIN; HOME CARE SERVICES; HUMANS; INTENSIVE CARE UNITS; LENGTH OF STAY; MALE; MIDDLE AGED; MORTALITY; OUTCOME ASSESSMENT (HEALTH CARE); STROKE;

EID: 60549115271     PISSN: 00392499     EISSN: None     Source Type: Journal    
DOI: 10.1161/STROKEAHA.108.518043     Document Type: Article

References (44)

1. National Audit Office. Reducing Brain Damage: Faster Access to Better Stroke Care. Report by the Comptroller and Auditor General, Department of Health. London: National Audit Office; 2005.
2. Stroke Unit Trialists' Collaboration. Collaborative systematic review of the randomised trials of organised inpatient (stroke unit) care after stroke. BMJ. 1997;314:1151.
3. Royal College of Physicians (RCP). National Clinical Guidelines for Stroke, II ed. London: Royal College of Physicians; 2004.
4. Stroke Unit Trialists' Collaboration. How do stroke units improve patient outcomes? A collaborative systematic review of the randomized trials. Stroke. 1997;28:2139-2144.
5. Stroke Unit Trialists' Collaboration. Collaborative systematic review of the randomized trials of organised inpatient (stroke unit) care after stroke. BMJ. 1997;314:1151-1159.
6. Ronning OM, Guldvog B. Stroke unit versus general medical wards. II: neurological deficits and activities of daily living: a quasi-randomized controlled trial. Stroke. 1998;29:586 -590.
7. Jorgensen HS, Kammersgaard LP, Nakayama H, Raaschou HO, Larsen K, Hübbe P, Olsen TS. Treatment and rehabilitation on a stroke unit improves 5-year survival: a community based study. Stroke. 1999;30:930 -933.
8. Govan L, Langhorne P, Weir CJ; Stroke Unit Trialists Collaboration. Does the prevention of complications explain the survival benefit of organized inpatient (stroke unit) care? Further analysis of a systematic review. Stroke. 2007;38:2536-2540.
9. National Sentinel Audit of Stroke. National and Local Results for the Casemix and Process of Stroke Care. Prepared on behalf of The Intercollegiate Stroke Group by Clinical Effectiveness and Evaluation Unit Royal College of Physicians of London; London: Royal College of Physicians; 2004.
10. Dodel RC, Haacke C, Zamzow K, Paweilik S, Spottke A, Rethfeldt M, Siebert U, Oertel WH, Schoffski O, Back T. Resource utilization and costs of stroke unit care in Germany. Value Health. 2004;7:144-152.
11. Di Matteo M, Anderson C, Ratnasabapathy Y, Green G, Tryon K. The Acute Stroke Unit at Middlemore Hospital: an evaluation in its first year of operation. N Z Med J. 2004;12:117.
12. Launois RGM, Megnigbeto AC, Le Lay K, Presente G, Mahagne MH, Durand I, Gaudin AF. Estimating the cost-effectiveness of stroke units in France compared with conventional care. Stroke. 2004;35:770-775.
13. Beech R, Rudd AG, Tilling K, Wolfe CDA. Economic consequences of early inpatient discharge to community-based rehabilitation for stroke in an inner-London teaching hospital. Stroke. 1999;30:729-735.
14. Langhorne P, Taylor G, Murray G, Dennis M, Anderson C, Bautz-Holter E, Dey P, Indredavik B, Mayo N, Power M, Rodgers H, Ronning OM, Rudd A, Suwanwela N, Widen-Holmqvist L, Wolfe C. Early supported discharge services for stroke patients: a meta-analysis of individual patients' data. Lancet. 2005;365:501-506.
15. Indredavik B, Fjærtoft H, Ekeberg G, Løge AD, Mørch B. Benefit of an extended stroke unit service with early supported discharge: a randomized, controlled trial. Stroke. 2000;31:2989 -2994.
16. Bautz-Holter E, Sveen U, Rygh J, Rodgers H, Wyller TB. Early supported discharge of patients with acute stroke: a randomized controlled trial. Disabil Rehabil. 2002;24:348-355.
17. Rodgers H. Rehabilitation: Hospital or Home? An Overview. Newcastle upon Tyne, UK: University of Newcastle upon Tyne; 1999.
18. Fjaertoft H, Indredavik B, Magnussen J, Johnsen R. Early supported discharge for stroke patients improves clinical outcome. Does it also reduce use of health services and costs? One-year follow-up of a randomized controlled trial. Cerebrovasc Dis. 2005;19:376-383.
19. Early Supported Discharge Trialists. Services for reducing duration of hospital care for stroke patients. Cochrane Database Syst Rev. 2005;18:CD000443.
20. Brady BK, McGahan L, Skidmore B. Systematic review of economic evidence on stroke rehabilitation services. Int J Technol Assess Health Care. 2005;21:15-21.
21. Larsen T, Olsen TS, Sorensen J. Early home-supported discharge of stroke patients: a health technology assessment. Int J Technol Assess Health Care. 2006;22:313-320.
22. Anderson C, Ni MC, Brown PM, Carter K. Stroke rehabilitation services to accelerate hospital discharge and provide home-based care: an overview and cost analysis. Pharmacoeconomics. 2002;20:537-555.
23. Rudd AG, Wolfe CDA, Tilling K, Beech R. Randomised controlled trial to evaluate early discharge scheme for patients with stroke. BMJ. 1997; 315:1039-1044.
24. Sonnenberg FA, Beck JR. Markov models in medical decision making: a practical guide. Med Decis Making. 1993;13:322-338.
25. Stewart JA, Dundas R, Howard RS, Rudd AG, Wolfe CD. Ethnic differences in incidence of stroke: prospective study with stroke register. BMJ. 1999;318:967-971.
26. Wolfe CD, Rudd AG, Howard R, Coshall C, Stewart J, Lawrence E, Hajat C, Hillen T. Incidence and case fatality rates of stroke subtypes in a multiethnic population: the South London Stroke Register. J Neurol Neurosurg Psychiatry. 2002;72:211-216.
27. Leira EC, Chang KC, Davis PH, Clarke WR, Woolson RF, Hansen MD, Adams HP Jr. Can we predict early recurrence in acute stroke? Cerebrovasc Dis. 2004;18:139-144.
28. Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. Md State Med J. 1965;14:61-65.
29. van Exel NJ, Scholte op Reimer WJ, Koopmanschap MA. Assessment of post-stroke quality of life in cost-effectiveness studies: the usefulness of the Barthel Index and EuroQoL-5D. Qual Life Res. 2004;13:427-433.
30. Office for National Statistics. Annual Abstract of Statistics 2003. Available at: www.statistics.gov.uk/statbase/Product.asp?vlnk = 94. Last accessed November 2006.
31. HM Revenue and Customs, Personal Incomes by Tax Year, Distribution of median income by age range and sex, 2002-2003. Available at: www.hmrc.gov.uk/stats/income-distribution/menu-by-year.htm#32. Last accessed November 2006.
32. Office for National Statistics, Annual Abstract of Statistics 2005. London: HMSO; 2005.
33. Department of Social Security. Social Security Statistics. London: Department of Social Security; 2000.
34. De Wit L, Putman K, Dejaeger E, Baert I, Berman P, Bogaerts K, Brinkmann N, Connell L, Feys H, Jenni W, Kaske C, Lesaffre E, Leys M, Lincoln N, Louckx F, Schuback B, Schupp W, Smith B, De Weerdt W. A comparison of four European rehabilitation centers. Stroke. 2005;36: 1977-1983.
35. Personal Social Services Research Unit (PSSRU). Unit Costs of Health and Social Care, 2004, London. Available at: www.pssru.ac.uk.
36. HM Treasury, GDP deflators at market prices, and money GDP, March 2007. Available at: www.hm-treasury.gov.uk/economic-data-and-tools/ gdp-deflators/data-gdp-fig.cfm
37. Department of Health Finance Manual. Guidance on the Change in H M Treasury Discount Rates From 6% to 3.5% from 1 April 2003. Available at: www.info.doh.gov.uk/doh/finman.nsf/ManualDownload?OpenView. Last accessed November 2006.
38. Briggs AH. A Bayesian approach to stochastic cost effectiveness analysis. Health Econ. 1999;8:257-262.
39. Fenwick E, Claxton K, Sculpher M. Representing uncertainty: the role of cost-effectiveness acceptability curves. Health Econ. 2001;10:779-789.
40. Klaxton C, Sculpher M, McCabe C, Briggs A, Akehurst R, Buxton M, Brazier J, O'Hagan T. Probabilistic sensitivity analysis for NICE technology assessment: not an optional extra. Health Econ. 2005;14:339-347.
41. Pearson SD. Rawlins MD. Quality innovation and value for money, NICE and the British health service. JAMA. 2005;294:2618-2622.
42. Severens JL, Milne RJ. Discounting health outcomes in economic evaluation: the ongoing debate. Value in Health Volume. 2004;7:397.
43. Indredavik B, Slørdahl SA, Bakke F, Rokseth R, Håheim LL. Stroke unit treatment, long-term effects. Stroke. 1997;28:1861-1866.
44. Drummond AER, Pearson B, Lincoln NB, Berman P. Ten year follow-up of a randomised controlled trial of care in a stroke rehabilitation unit. BMJ. 2005;331:491-492.