More Hemorrhagic and Severe Events Cause Higher Hospitalization Care Cost for Childhood Stroke in Taiwan

• Published in: The Journal of pediatrics 2008-03, Vol.152 (3), p.388-393.e1
• Main Authors: Chen, Pei-Chun, MS, Chien, Kuo-Liong, MD, PhD, Chang, Ching-Wen, PhD, Su, Ta-Chen, MD, PhD, Jeng, Jiann-Shing, MD, PhD, Lee, Yuan-Teh, MD, PhD, Sung, Fung-Chang, PhD
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Age Factors; Biological and medical sciences; Cause of Death; Cerebral Hemorrhage - diagnosis; Cerebral Hemorrhage - economics; Cerebral Hemorrhage - mortality; Cerebral Hemorrhage - therapy; Child; Cohort Studies; Female; General aspects; Health Care Costs; Hospitalization - economics; Hospitalization - statistics & numerical data; Humans; Length of Stay - economics; Linear Models; Male; Medical sciences; Miscellaneous; Multivariate Analysis; Neurology; Pediatrics; Probability; Public health. Hygiene; Public health. Hygiene-occupational medicine; Retrospective Studies; Risk Assessment; Severity of Illness Index; Sex Factors; Stroke - diagnosis; Stroke - economics; Stroke - mortality; Stroke - therapy; Survival Analysis; Taiwan; Vascular diseases and vascular malformations of the nervous system
• ISSN: 0022-3476; 1097-6833
• DOI: 10.1016/j.jpeds.2007.08.003

Objective Rarely has childhood stroke been compared with adult stroke for incidence or cost. This population study compared the stroke incidence and the associated hospitalization care costs between children and adults in Taiwan. Study design We used reimbursement claims data from the National Health Insurance program to identify stroke diagnoses in 1997 to 2003. The inpatient costs of both the first admission and recurrent stroke from 1979 childhood cases and 365,169 adult cases were compared by age and stroke subtype, excluding those less than 1 month of age. Results The mean inpatient costs were higher for patients