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First year post-stroke healthcare costs and fall-status among those discharged in the community

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dc.contributor.author Walsh, Mary E.
dc.contributor.author Sorensen, Jan
dc.contributor.author Galvin, Rose
dc.contributor.author Williams, David JP.
dc.contributor.author Harbison, Joseph A.
dc.contributor.author Murphy, Sean
dc.contributor.author Collins, Ronan
dc.contributor.author McCabe, Dominick JH.
dc.contributor.author Crowe, Morgan
dc.contributor.author Horgan, Frances N.
dc.date.accessioned 2018-10-08T10:30:10Z
dc.date.available 2018-10-08T10:30:10Z
dc.date.issued 2018
dc.identifier.uri http://hdl.handle.net/10344/7199
dc.description peer-reviewed en_US
dc.description.abstract Introduction: Falls are common post-stroke events but their relationship with healthcare costs is unclear. The aim of this study was to examine the relationship between healthcare costs in the first year after stroke and falls among survivors discharged to the community. Patients and Methods: Survivors of acute stroke with planned home-discharges from five large hospitals in Ireland were recruited. Falls and healthcare utilisation data were recorded using inpatient records, monthly calendars and post-discharge interviews. Cost of stroke was estimated for each participant from hospital admission for one year. The association of fall-status with overall cost was tested with multivariable linear regression analysis adjusting for pre-stroke function, stroke severity, age and living situation. Results: 109 stroke survivors with complete follow-up data (mean age=68.5 years (SD=13.5 years)) were included. 53 participants (49%) fell following stroke, of whom 28 (26%) had recurrent falls. Estimated mean total healthcare cost was €20,244 (SD=€23,456). The experience of one fall and recurrent falls was independently associated with higher costs of care (p=0.02 and p<0.01, respectively). Discussion: The observed relationship between falls and cost is likely to be underestimated as aids and adaptions, productivity losses, and nursing home care were not included. Conclusion: This study points at differences across fall-status in several healthcare costs categories, namely the index admission, secondary/ tertiary care (including inpatient re-admissions) and allied health care. Future research could compare the cost-effectiveness of inpatient versus communitybased fall-prevention after stroke. Further studies are also required to inform post-stroke bone-health management and fracture-risk reduction. en_US
dc.language.iso eng en_US
dc.publisher SAGE Publications en_US
dc.relation.ispartofseries European Stroke Journal;3 (3)
dc.relation.uri https://doi.org/10.1177/2396987318764954
dc.subject stroke en_US
dc.subject accidental falls en_US
dc.subject economic en_US
dc.subject rehabilitation en_US
dc.title First year post-stroke healthcare costs and fall-status among those discharged in the community en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1177/2396987318764954
dc.contributor.sponsor IRC en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US


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