| ORIGINAL ARTICLE |
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| Year : 2013 | Volume
: 61
| Issue : 6 | Page : 627--632 |
Cost of stroke from a tertiary center in northwest India
Gagandeep Kwatra1, Paramdeep Kaur2, Gagan Toor2, Dinesh K Badyal1, Raminder Kaur2, Yashpal Singh2, Jeyaraj D Pandian2
1 Department of Pharmacology, Christian Medical College, Ludhiana, Punjab, India
2 Stroke Unit, Department of Neurology, Christian Medical College, Ludhiana, Punjab, India
Correspondence Address:
Jeyaraj D Pandian
Department of Neurology, Head of Research, Betty Cowan Research and Innovation Centre, Christian Medical College, Ludhiana, Punjab - 141 008
India
 Source of Support: Department of Neurology intramural research fund, Conflict of Interest: None  | Check |
DOI: 10.4103/0028-3886.125270
Aim: We aimed to study the cost of stroke, its predictors, and the impact on social determinants of the family. Settings and Design: This prospective study was done in the Stroke unit and Neurology clinic between April 2009 and October 2011. Materials and Methods: All first ever stroke patients during the study period were enrolled. Direct and indirect costs at admission, at 1 and 6 months follow-up were obtained. The follow-up included information about the patient's poststroke outcome using modified Rankin Scale (mRS), work status, modifications made at home, loan requirement, etc., Results: Two hundred patients were enrolled in this study and final analysis was performed on 189 patients. The mean age was 58 ± 13 years and 128 (67.7%) were men. Majority (54%) were living in a joint family. The mean overall cost of stroke per patient was rupees (INR) 80612 at 6 months. Higher income (P = 0.008), poor outcome (mRS >2) (P = 0.001), and length of hospital stay (P = 0.001) were the cost driving factors of total cost of stroke at 6 months. There was a decline in the requirement of help (P < 0.0001) and need for loan (P = 0.003) at 6 months follow-up. Conclusions: Direct medical cost or acute care of stroke accounted for a major component of cost of stroke. Poor outcome, length of hospital stay, and higher income were the cost driving factors. The socioeconomic impact on the family decreased at follow up probably due to joint family system.
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