Population-based study of acute- and long-term care costs after stroke in patients with AF.

International Journal of Stroke : Official Journal of the International Stroke Society
Ramon Luengo-FernandezPeter M Rothwell

Abstract

New treatments for atrial fibrillation patients have been shown to be effective at reducing subsequent vascular event recurrence. However, there are few data on stroke costs in atrial fibrillation patients to allow the cost-effectiveness of these treatments to be assessed. Using data from a population-based study, we assessed the acute and long-term costs of stroke in atrial fibrillation patients. Health-care costs one-year before and five-years after stroke were obtained from a large population-based study (Oxford Vascular study). Costs were assessed for the three-months poststroke (acute period) and annually thereafter (postacute period). Annual postacute costs were compared with annual baseline costs. Based on patients' living arrangements, costs of institutionalization after the event were included. A total of 191 strokes occurred in 153 patients with known prior atrial fibrillation. Mean health-care costs after stroke were £10 413 (standard deviation 15 105) in the acute phase, with annual postacute health-care costs nonsignificantly smaller than those incurred before the event (£2400 vs. £3356, respectively; P = 0·198). However, for the 136 strokes surviving past the 90-day acute period, costs were nonsignificantly higher...Continue Reading

Associated Clinical Trials

References

Nov 1, 1988·Stroke; a Journal of Cerebral Circulation·R F Bloch
May 1, 1988·Stroke; a Journal of Cerebral Circulation·J C van SwietenJ van Gijn
Oct 1, 1996·Stroke; a Journal of Cerebral Circulation·H J LinR B D'Agostino
Apr 3, 1999·Stroke; a Journal of Cerebral Circulation·M N DiringerA W Dromerick
Jun 15, 2004·Lancet·Valery Feigin, Stephen Vander Hoorn
Jan 24, 2006·Lancet Neurology·Valery FeiginUNKNOWN Auckland Regional Community Stroke Study Group
Feb 24, 2006·Health Economics·Mark J SculpherChris McCabe
May 17, 2006·Heart·R Luengo-FernándezM Rayner
Sep 2, 2006·Stroke; a Journal of Cerebral Circulation·Ramon Luengo-FernandezPeter M Rothwell
Oct 12, 2007·Lancet·Peter M RothwellUNKNOWN Early use of Existing Preventive Strategies for Stroke (EXPRESS) study
May 15, 2008·Cerebrovascular Diseases·UNKNOWN European Stroke Organisation (ESO) Executive Committee, UNKNOWN ESO Writing Committee
Dec 26, 2008·Stroke; a Journal of Cerebral Circulation·Ramon Luengo-FernandezPeter M Rothwell
Mar 13, 2009·Journal of Neurology, Neurosurgery, and Psychiatry·N L CabralJ Eluf-Neto
Sep 1, 2009·The New England Journal of Medicine·Stuart J ConnollyUNKNOWN RE-LY Steering Committee and Investigators
Jan 1, 2010·The New England Journal of Medicine·Donald Stuart Houston, Ryan Zarychanski
Sep 30, 2010·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·A John CammUNKNOWN ESC Committee for Practice Guidelines
Oct 23, 2010·Stroke; a Journal of Cerebral Circulation·Karen L FurieUNKNOWN American Heart Association Stroke Council, Council on Cardiovascular Nursing, Council on Clinical Cardiology, and Interdisci
Nov 3, 2010·Annals of Internal Medicine·James V FreemanMintu P Turakhia
Nov 30, 2010·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·E E van der Wall
Feb 12, 2011·The New England Journal of Medicine·Stuart J ConnollyUNKNOWN AVERROES Steering Committee and Investigators

❮ Previous
Next ❯

Citations

Aug 21, 2013·Best Practice & Research. Clinical Haematology·Anuraag R KansalSonja V Sorensen
Oct 19, 2014·American Journal of Cardiovascular Drugs : Drugs, Devices, and Other Interventions·Talitha I VerhoefAnke Hilse Maitland-van der Zee
Jun 22, 2016·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Marie JakobsenSøren P Johnsen
Jun 17, 2015·Applied Health Economics and Health Policy·Gemma E ShieldsAnn-Marie Chapman
Dec 30, 2014·Journal of the Saudi Heart Association·Sérgio Barra, Simon Fynn
May 23, 2016·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Xue LiEsther W Chan
Jun 9, 2016·The Pharmacogenomics Journal·T I VerhoefM Pirmohamed
Oct 22, 2015·Journal of Neurology, Neurosurgery, and Psychiatry·Gabriel S C YiinUNKNOWN Oxford Vascular Study
Feb 13, 2016·European Journal of Preventive Cardiology·Jörg BurkowitzBernd Brüggenjürgen
Nov 7, 2017·Topics in Stroke Rehabilitation·A N AliA H Abdelhafiz
Aug 8, 2015·Stroke; a Journal of Cerebral Circulation·Jeban GanesalingamKyriakos Lobotesis
Oct 26, 2016·Stroke; a Journal of Cerebral Circulation·Wolfgang G KunzKolja M Thierfelder
Sep 1, 2015·Stroke; a Journal of Cerebral Circulation·Gregory Y H LipPaul Dorian
Sep 29, 2018·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·A BhattacharyyaJ Omatseye
Jan 10, 2019·Journal of General Internal Medicine·Matthew A PappasSandeep Vijan
Jun 21, 2017·Health Technology Assessment : HTA·Nicky J WeltonReecha Sofat
Oct 23, 2019·Stroke; a Journal of Cerebral Circulation·Anne-Claire PeultierJohan L Severens
Mar 1, 2017·European Stroke Journal·Alastair WilsonUNKNOWN for the ESO-VISTA Health Economics Working Group
Dec 26, 2018·Stroke; a Journal of Cerebral Circulation·Gabriel S C YiinPeter M Rothwell
Oct 7, 2020·International Journal of Environmental Research and Public Health·Nora-Ann DonnellyMaev-Ann Wren

❮ Previous
Next ❯

Software Mentioned

OXVASC

Related Concepts

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.