Hospitalization costs for patients with acute ischemic stroke treated with endovascular embolectomy in the united states

Waleed Brinjikji, David F. Kallmes, Alejandro A. Rabinstein, Giuseppe Lanzino, Harry J. Cloft

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

BACKGROUND AND PURPOSE-: It is important to know the costs of hospitalization for patients undergoing endovascular embolectomy so that comparisons can be made with payments to hospitals. METHODS-: Using the National Inpatient Sample, we evaluated the costs of hospitalization for patients treated with endovascular embolectomy in the United States from 2006 to 2008. The primary end point examined in this study was total hospital costs, and these were correlated with clinical outcome. RESULTS-: A total of 3864 patients received endovascular embolectomy. A total of 1649 patients were <65 years old and 2205 patients were ≥65 years old. Median hospital costs in 2008 dollars were $36 999 (interquartile range, $26 662-$56 405) for patients with good outcome, $50 628 (interquartile range, $33 135-$76 063) for patients with severe disability, and $35 109 (interquartile range, $25 053-$62 621) for patients with mortality. CONCLUSIONS-: Hospitalization costs for patients treated with endovascular embolectomy are rather high, probably due to the serious nature of their illness. Medicare payments have not been adequate reimbursement for these hospitalizations.

Original languageEnglish (US)
Pages (from-to)3271-3273
Number of pages3
JournalStroke
Volume42
Issue number11
DOIs
StatePublished - Nov 1 2011

Keywords

  • acute stroke
  • acute stroke syndromes
  • emergency treatment of stroke
  • endovascular treatment
  • interventional neuroradiology subject codes

ASJC Scopus subject areas

  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

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