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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >The Cost-Effectiveness of a Stroke Unit in Providing Enhanced Patient Outcomes in an Australian Teaching Hospital
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The Cost-Effectiveness of a Stroke Unit in Providing Enhanced Patient Outcomes in an Australian Teaching Hospital

机译：笔划单元在澳大利亚教学医院提供增强的患者结果方面的成本效益

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Background Stroke is one of the leading causes of disability and mortality. Patients who receive organized inpatient care in a stroke unit (SU) have better clinical outcomes. However, evidence on the cost analysis of an SU is lacking. The objective of this study was to assess the performance and analyze the cost-effectiveness of an SU. Methods A retrospective observational study was conducted comparing the acute stroke patient care in a 6-month period before and after the establishment of an acute SU at Calvary Hospital in 2013-2014. Results There were 103 patients included in the pre-SU period, as compared to 186 patients in the post-SU period. In the pre- and post-SU groups, 54 and 87 patients, respectively, had ischemic stroke, with significant trends in improved morbidity and mortality in the post-SU group ( P ?=?.01). The average length of stay (LOS) for patients was reduced from 9.7 days to 4.6 days in the post-SU group ( P ?=?.001). There was a reduction of cost per admission from $6382 Australian dollars (AUD) with conventional ward care as compared to $6061 (AUD) with SU care. Conclusion This study confirmed that the establishment of an SU not only improves treatment outcomes but also shortens LOS, thereby achieving cost-effectiveness. ]]>
机译：背景中风是残疾和死亡率的主要原因之一。在中风单元（SU）中接受有组织的住院护理的患者具有更好的临床结果。但是，缺乏关于SU成本分析的证据。本研究的目的是评估性能并分析SU的成本效益。方法采用回顾性观察研究，将急性中风患者护理在2013 - 2014年在Calvary医院建立急性苏之前和之后的6个月内比较。结果预苏期内有103名患者，与苏后期的186名患者相比。在苏后期和苏后群体，分别有54例和87名患者患有缺血性卒中，具有显着趋势的发病率和苏群后的死亡率（P？= 01）。在苏后组的9.7天内将患者的平均住院时间（LOS）降低（P？= 001）。每次入学费用减少了6382美元（AUD），与常规病房护理相比，与苏格兰有6061美元（AUD）。结论本研究证实，建立苏不仅改善治疗结果，还缩短了洛杉矶，从而实现了成本效益。 ]]>

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