Abstract
Objective : Describe the direct medical cost of acute stroke a Nhan Dan Gia Dinh hospital in 2020 and some influencing factors. Methods: Design of cross-sectional descriptive study, conducted two steps: quantitative research to describe the direct medical cost of acute stroke with the patient's medical records and hospital discharge payment slip: cerebral infarction stroke and cerebral hemorrhagic stroke from 3/2020 to 10/2020. And qualitative research analyzes factors affecting direct medical cost of acute stroke: hospital managers, doctor and nurse, the patients. Main findings: The study performed a sample size of 249 and results: Direct medical cost for treatment of ischemic stroke: 13.260.620 VND, treatment of ischemic stroke with alteplase: 21.026.494 VND, treatment of ischemic stroke with alteplase and mechanical thrombectomy: 120.521.658 VND, treatment of ischemic stroke with mechanical thrombectomy: 73.979.558 VND, treatment of ischemic stroke without revascularization: 5,250,087 VND, treatment of hemorrhagic stroke: 6,305,926 VND. Influencing factors include: age, type of stroke, treatment, length of stay in the intensive care unit, and length of stay. Conclusions: Our study evaluated economic burden of stroke which had significant consequences for patients and society. This study provided evidences for decision makers to implement healthcare policies for stroke prevention and management to reduce the economic burden of stroke in Vietnam. Keywords: direct medical cost, acute stroke, stroke subtypes, length of stay, treatment
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