Abstract
Analysis on structure of hospitalizatioin expenditure and functional outcome of stroke patients with rehabilitation
  
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EN KeyWords: stroke  hospitalizatioin expenditure  structure  influencing factors
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作者单位
方杰 广州医学院第二附属医院康复医学科广州 510260 
谢颖颖 广州医学院第一附属医院内科广州 510120 
罗爱华 广州医学院第二附属医院康复医学科广州 510260 
缪萍 广州医学院第二附属医院康复医学科广州 510260 
叶彤 广州医学院第二附属医院康复医学科广州 510260 
潘翠环 广州医学院第二附属医院康复医学科广州 510260 
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EN Abstract:
  Objective: To analyze the structure of hospitalizatioin expenditure and functional outcome of the stroke patients with rehabilitation. Methods: 237 stroke inpatients with rehabilitation were divided into actue group (group A), convalescence group (group B) and sequelae group (group C). The functional outcome and hospitalization expenditure were retrospectively analyzed. Results: To stroke patients, cost ratio for drug treatment in groups A, B and C was respectively 50.65%, 18.84%, and 17.43%. The cost ratio for rehabilitation treatment in groups A, B and C was respectively 10.39%, 53.39%, and 57.63%. The improvement on modified Barthel index (MBI) in groups A, B and C was respectively 10.1, 6.4, and 5.0. There were 7 factors which were significantly different among three groups (P<0.05). The stepwise multiple linear regression results suggested that hospital stay, drugs, rehabilitation costs, chemical test, examination fee and MBI elevation were contributed to the total expenditure. Conclusion: The expense of drug treatment is still excessive high in total expenditure of acute stroke. Controlling the complication and giving rehabilitation treatment in early period will help improve activities of daily living, the structure of hospitalizatioin expenditure and shorten the hospital stay of patients with stroke.
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