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Open AccessArticle

Financial Burden of Stroke Reflected in a Pilot Center for the Implementation of Thrombolysis

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Department of Preclinical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania
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Department of Pharmacy, Faculty of Medicine and Pharmacy, University of Oradea, 410028 Oradea, Romania
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Department of Medical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania
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Clinical Department 3, University of Medicine and Pharmacy “Carol Davila”, 050474 Bucharest, Romania
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Department 5, University of Medicine and Pharmacy ”Carol Davila”, 050474 Bucharest, Romania
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Internal Medicine Clinic, Clinical Emergency Hospital of Bucharest, 014461 Bucharest, Romania
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Department of Surgical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania
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Emergency Clinical County Hospital, 410169 Oradea, Romania
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Author to whom correspondence should be addressed.
Medicina 2020, 56(2), 54; https://doi.org/10.3390/medicina56020054
Received: 2 December 2019 / Revised: 6 January 2020 / Accepted: 27 January 2020 / Published: 28 January 2020
Stroke represents a serious illness and is extremely relevant from the public health point of view, implying important social and economic burdens. Introducing new procedures or therapies that reduce the costs both in the acute phase of the disease and in the long term becomes a priority for health systems worldwide. The present study quantifies and compares the direct costs for ischemic stroke in patients with thrombolysis treatment versus conservative treatment over a 24-month period from the initial diagnosis, in one of the 7 national pilot centres for the implementation of thrombolytic treatment. The significant reduction (p < 0.001) of the hospitalization period, especially of the days in the intensive care unit (ICU) for stroke, resulted in a significant reduction (p < 0.001) of the total average costs in the patients with thrombolysis, both at the first hospitalization and for the subsequent hospitalizations, during the period followed in the study. It was also found that the percentage of patients who were re-hospitalized within the first 24-months after stroke was significantly lower (p < 0.001) among thrombolyzed patients. The present study demonstrates that the quick intervention in cases of stroke is an efficient policy regarding costs, of Romanian Public Health System, Romania being the country with the highest rates of new strokes and deaths due to stroke in Europe.
Keywords: health services; healthcare costs; hospitalization; stroke; thrombolysis; sustainable public health system health services; healthcare costs; hospitalization; stroke; thrombolysis; sustainable public health system
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MDPI and ACS Style

Uivarosan, D.; Bungau, S.; Tit, D.M.; Moisa, C.; Fratila, O.; Rus, M.; Bratu, O.G.; Diaconu, C.C.; Pantis, C. Financial Burden of Stroke Reflected in a Pilot Center for the Implementation of Thrombolysis. Medicina 2020, 56, 54.

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