J Korean Neurol Assoc.  2009 Aug;27(3):215-222.

Determinants of Inpatient Charges of Acute Stroke Patients in Two Academic Hospitals: Comparison of Intracerebral Hemorrhage and Cerebral Infarction

Affiliations
  • 1Department of Health Services Administration, College of Business Administration, Kyung Hee University, Seoul, Korea.
  • 2Department of Neurology, College of Medicine, Kyung Hee University, Seoul, Korea.
  • 3Department of Medical Humanities and Social Sciences, College of Medicine, the Catholic University of Korea, Seoul, Korea. snukyd1@naver.com

Abstract

BACKGROUND: Intracerebral hemorrhage (ICH) and cerebral infarction, which are two types of stroke, have different properties in terms of patient characteristics and hospital resource utilization. The two stroke types were evaluated in the present study with respect to the associated estimated inpatient charges, and their significant determinants.
METHODS
The data of 497 stroke inpatients were collected from two academic hospitals in the year 2000~2001. The patients' demographic and clinical information were investigated retrospectively through medical records, and their payment data were extracted through the hospitals' information systems. The two types of stroke patient (i.e., ICH and cerebral infarction) were compared in terms of their demographic and clinical characteristics, and healthcare utilization. Multiple regression models were developed to examine the influence of demographic and clinical factors on inpatient charges.
RESULTS
The mean length of hospital stay was 22.4 days for ICH patients and 18.3 days for those with cerebral infarction; the total inpatient charges were 5,777 and 3,908 thousand Korean won, respectively. While stroke severity, intensive care unit admission, surgery, and death were significant factors on inpatient charges for ICH patients (R2=0.426), additional factors such as diabetes, hospital, and department of care were significant for cerebral infarction patients (R2=0.342).
CONCLUSIONS
The inpatient charges and their determinants differed between ICH and cerebral infarction. However, the length of hospital stay was found to be the most significant determinant of inpatient charges for both stroke types; stroke severity was also important with regard to the estimation of inpatient charges.

Keyword

Cerebral hemorrhage; Cerebral infarction; Health resources; Hospital charges; Length of stay

MeSH Terms

Cerebral Hemorrhage
Cerebral Infarction
Delivery of Health Care
Fees and Charges
Health Resources
Hospital Charges
Humans
Information Systems
Inpatients
Intensive Care Units
Length of Stay
Medical Records
Retrospective Studies
Stroke
Full Text Links
  • JKNA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error