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Title: Cost of stroke in Australia from a societal perspective: results from the North East Melbourne Stroke Incidence Study (NEMESIS).
Austin Authors: Dewey, Helen M;Thrift, Amanda G;Mihalopoulos, C;Carter, Robert;Macdonell, Richard A L ;McNeil, John J;Donnan, Geoffrey A 
Affiliation: National Stroke Research Institute and the Neurology Department, Austin and Repatriation Medical Centre, Heidelberg, Australia
Issue Date: 1-Oct-2001
Publication information: Stroke; A Journal of Cerebral Circulation; 32(10): 2409-16
Abstract: Accurate information about resource use and costs of stroke is necessary for informed health service planning. The purpose of this study was to determine the patterns of resource use among stroke patients and to estimate the total costs (direct service use and indirect production losses) of stroke (excluding SAH) in Australia for 1997.An incidence-based cost-of-illness model was developed, incorporating data obtained from the North East Melbourne Stroke Incidence Study (NEMESIS). The costs of stroke during the first year after stroke and the present value of total lifetime costs of stroke were estimated.The total first-year costs of all first-ever-in-a lifetime strokes (SAH excluded) that occurred in Australia during 1997 were estimated to be A$555 million (US$420 million), and the present value of lifetime costs was estimated to be A$1.3 billion (US$985 million). The average cost per case during the first 12 months and over a lifetime was A$18 956 (US$14 361) and A$44 428 (US$33 658), respectively. The most important categories of cost during the first year were acute hospitalization (A$154 million), inpatient rehabilitation (A$150 million), and nursing home care (A$63 million). The present value of lifetime indirect costs was estimated to be A$34 million.Similar to other studies, hospital and nursing home costs contributed most to the total cost of stroke (excluding SAH) in Australia. Inpatient rehabilitation accounts for approximately 27% of total first-year costs. Given the magnitude of these costs, investigation of the cost-effectiveness of rehabilitation services should become a priority in this community.
Gov't Doc #: 11588334
Journal: Stroke
Type: Journal Article
Subjects: Aged
Cohort Studies
Cost of Illness
Health Care Costs.statistics & numerical data
Health Resources.economics.utilization
Home Care Services.economics
Hospital Costs.statistics & numerical data
Middle Aged
Models, Econometric
Nursing Homes.economics
Registries.statistics & numerical data
Reproducibility of Results
Sensitivity and Specificity
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