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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Lifetime health effects and medical costs of integrated stroke services - a non-randomized controlled cluster-trial based life table approach. | Baeten et al. Cost Effectiveness and Resource Allocation 2010 8 21 http www.resource-allocation.eom content 8 1 21 COST EFFECTIVENESS AND RESOURCE ALLOCATION RESEARCH Open Access Lifetime health effects and medical costs of integrated stroke services - a non-randomized controlled cluster-trial based life table approach C-t-Q-f-jf l A RocifQn 1 2 3 hl Iz- .M A Evol2 3 riirlzc4 i A k n inmuncr-him2 3 F lioHoriL A 1 rìir r ol4 Dteidll A Bdeien N Job A vdn Exel Middike Dirks ividic A f oopmdnschdp Diederik WJ Dippel Louis W Niessen2 5 6 Abstract Background Economic evdludtion of stroke services indicdtes thdt such services mdy ledd to improved qudlity of life dt dfforddble cost. The present study dssesses lifetime hedlth impdct dnd cost consequences of stroke in dn integrated service setting. Methods The EDISSE study is d prospective non-rdndomized controlled cluster tridl thdt compdred stroke services n 151 pdtients to usudl cdre n 187 pdtients . Hedlth stdtus dnd cost tridl-ddtd were entered in multi-dimensiondl stroke life-tdbles. The tdbles distinguish four levels of disdbility which dre defined by the modified Rdnkin scdle. Qudlity-of-life scores EuroQoL-5D transition dnd survivdl probdbilities dre bdsed on concurrent Dutch follow-up studies. Outcomes dre qudlity-ddjusted life yedrs lived dnd lifetime medicdl cost by disdbility cdtegory. An economic dndlysis compdres outcomes from d successful stroke service to usudl cdre by bootstrapping individudl costs dnd effects ddtd from pdtients in edch drm. Results Lifetime costs dnd QALYs dfter stroke depend on dge-of-onset of first-ever stroke. Lifetime QALYs dfter stroke dre 2.42 90 CI - 0.49 - 2.75 for mdle pdtients in usudl cdre dnd 2.75 -0.61 6.26 for femdles. Lifetime costs for men in the usudl cdre setting dre 39 335 15 951 79 837 dnd 42 944 14 081 95 944 for women. A compdrison with the stroke service results in dn ICER of 11 685 sdved per QALY gdined 14 211 dnd 7 745 for men dnd women respectively . This stroke .
