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Cost analysis of early supported hospital discharge for stroke
Author(s)P McNamee, J Christensen, J Soutter
Journal titleAge and Ageing, vol 27, no 3, May 1998
Pagespp 345-352
KeywordsStroke ; Discharge [hospitals] ; Aftercare ; Newcastle upon Tyne.
AnnotationStroke is one of the major causes of mortality and morbidity in older people, and there is growing pressure to make sure that the management of the disorder is cost effective. This article compares the costs of an early supported discharge service run by Newcastle City Health Trust with that of conventional hospital care for stroke using data from a pilot study using a randomised controlled trial design. Early supported discharge reduced median length of hospital stay by almost half. The costs of the service were £7155 per patient compared with £7480 for conventional hospital care. Sensitivity analysis demonstrated that this result was robust to changes in values of bed days and exclusion of particular resource use items. Sub-group analysis suggested that costs were related to physical dependency. The authors concluded that early supported discharge provide a cost-effective alternative in the management of stroke care, although a larger study is needed to assess the generalisability of the results and long-term cost effectiveness. (AKM).
Accession NumberCPA-981208236 A
ClassmarkCQA: LD:QKJ: LN: 86A

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