THIRY-DAY RESOURCE USE DIARY DATA FROM THE BURST STUDY
Author(s)
Soo Jin Seung, HBSc, Research Associate1, Nicole Mittmann, PhD, Director, HOPE Research Centre1, Michael Sharma, MD, FRCPC, Director Regional Stroke Program21HOPE Research Centre, Toronto, ON, Canada; 2 The Ottawa Hospital, Ottawa, ON, Canada
Objective: This study identifies 30-day post discharge direct medical and nonmedical resources of ischemic stroke patients who are participants from The BURden of Ischemic STroke (BURST) Study. Methods: The BURST Study is a prospective, observational study with a cohort (N=200) of ischemic stroke patients recruited in a consecutive manner at stroke sites (N=10) across Canada. In addition to four questionnaires, study participants were asked to complete a 30-day diary after discharge evaluating physician and health professional visits (direct medical) as well as paid services and purchase of stroke-related items (direct nonmedical). Results: A total of 61 diaries were analyzed. Demographics included mean age 62.7 ± 15.5 (27 – 93) years, 52.4% male and 72.1% discharged as outpatients. On average, 4.8 ± 5.9 (0 – 28) doctor visits were reported. Inpatients at rehabilitation and long term care facilities had a mean 10.2 ± 8.4 (1 – 28) visits compared to 2.9 ± 3.0 (0 – 12) by outpatients. Nurses, therapists (physiotherapy, occupational and speech), social workers and dieticians were the most visited health professionals by all patients with a mean 20.1 ± 29.3 (0 – 98) visits. Inpatients reported more visits with a mean 59.2 ± 25.8 (3 – 98) visits compared to 4.9 ± 10.4 (0 – 52) by outpatients. Seventeen patients reported an average 10.5 ± 10.1 (1 – 30) paid service visits while 19 patients purchased at least one stroke-related item under $499. Conclusion: Patients reported an average 5 doctor visits and 20 health professional visits, 30 days following their first ischemic stroke. The average number of visits increased if patients were discharged to an inpatient facility. Approximately 30% patients paid for services (e.g. housekeeping or transportation) and also purchased stroke- related items (e.g. cane or home renovations). The next step will be to apply unit costs to this data for cost calculations
Conference/Value in Health Info
2008-05, ISPOR 2008, Toronto, Ontario, Canada
Value in Health, Vol. 11, No. 3 (May/June 2008)
Code
PCV55
Topic
Economic Evaluation
Topic Subcategory
Cost/Cost of Illness/Resource Use Studies
Disease
Cardiovascular Disorders