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• W4386656799 abstract "Abstract Background In France, the creation of neurovascular units and the specialization of follow-up and rehabilitation services in neurology care since since 2010, aimed to reduce post-stroke mortality and comorbidity. This study aims to estimate post-stroke health health expenses and to identify the impact of Neuro Vascular Unit (NVU) and the type of rehabilitation in their evolution. Methods The study population is a sample of 8,492 adults who experienced a first stroke in 2012. Demographics and health status data of patient and their health expenditures related to outpatient care, re-hospitalizations and rehabilitation care over 12 months before and 12 months after the onset of stroke were extracted from the French National Health Data System. A ‘pooled' panel model of health expenditures per quarter over the 12 months following discharge from initial hospitalization for stroke was performed. Two complementary models explaining the occurrence of death and of re-hospitalization were carried out. Models were performed on STATA software version 14. Results Post-stroke health expenses were estimated at € 17,314 (SD= €25,518) on average for the first year, including € 8,147 (47%) of rehabilitation structure care, € 5,713 (33%) of outpatient care, and € 3,454 (20%) of post-stroke re-hospitalizations. For less severe patients, expenses were reduced considerably in the first year but remained higher than the initial pre-stroke level. Initial care in neurovascular unit was associated with higher expenditure (+ 9%) but allowed the reduction of the onset of deaths (-0.7%) and re-hospitalizations (-4%). Conclusions Post-stroke expenditure, the first year after stroke is mainly made up of rehabilitation expenses and depends on the type and intensity of the rehabilitation. Concerning inital care in neurovascular unit, it allows for better quality of life. Key messages Post-stroke expenditure, the first year after stroke is mainly made up of rehabilitation expenses and depends on the type and intensity of the rehabilitation. Inital care in neurovascular unit, it allows for better quality of life." @default.
• W4386656799 created "2023-09-13" @default.
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• W4386656799 date "2021-10-01" @default.
• W4386656799 modified "2023-10-18" @default.
• W4386656799 title "Impact of organizational innovation in stroke care on post-acute phase health expenses in France" @default.
• W4386656799 doi "https://doi.org/10.1093/eurpub/ckab164.338" @default.
• W4386656799 hasPublicationYear "2021" @default.
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