 | The 131st Annual Meeting (November 15-19, 2003) of APHA |
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| The 131st Annual Meeting (November 15-19, 2003) of APHA |
FungChang J Sung1, SC Liau2, PC Chen1, YT Lee2, and R. S. Lin3. (1) Institute of Environmental Health, National Taiwan University College of Public Health, 1 Jen Ai Road Section 1, Taipei, 100, Taiwan, 886-2-2312-3456 ex. 8461, sung@ha.mc.ntu.edu.tw, (2) Institute of Preventive Medicine, National Taiwan University College of Public Health, 1 Jen Ai Road Section 1, Taipei, 100, Taiwan, (3) Institute of Epidemiology, National Taiwan University College of Public Health, 1 Jen Ai Road Section 1, Taipei, 100, Taiwan
Stroke is the second most lethal cause of death in population in Taiwan. This study examined the nationwide counts, rates, costs and types of stroke among young patients hospitalized in 2000, using reimbursement claims data retrieved from National Health Insurance that has covered 95 percent of Taiwan population. Among 443,855 inpatients of less than 20 years old, 685(or 1.54 per 1000) were hospitalized by stroke. Among all age groups, including both children and adults, the average cost of stroke treatment during hospital stay was the highest for 15-19 years old female patients (NT$153,290/US$4,443) and followed by 10-14 years old male patients (NT$131,137/US$3,801), much higher than the average cost (NT$62,352/US$1,807) for all age groups. Further analyses revealed that young patients were more prevalent with intracerebral hemorrhage and other and unspecified intracranial hemorrahage (ICD-9 codes 431 and 432) than adult cases (47.6% vs. 13.1%). Analysis for cost of inpatient care by the type of stroke showed the average cost for patients with hemorrhage events was three times higher than that with other types of stroke. In conclusion, higher cost of stroke treatment during hospital admission for young stroke cases than for adult cases is because there are more young patients with hemorrhage events demanding high level of care.
Learning Objectives:
Keywords: Cost Issues, Strokes
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.