缺血性脑卒中患者TOAST分型的费用分析

【作者】 陈丹霞； 林鑫江； 陈小华； 吴英姿； 王敏；

【机构】 汕头大学医学院第一附属医院；

【摘要】 目的了解住院缺血性脑卒中患者TOAST分型的住院成本,分析不同亚型住院成本差别。方法采用前瞻性队列研究方法,按照1989年WHO的脑卒中诊断标准,连续性登记2007年9月至2008年3月间入院的缺血性脑卒中患者(共243例),按照TOAST标准进行病因分型,分析其构成比例,利用SPSS11.0统计软件分别统计其住院费用、住院天数、床位费用、药物治疗费用、影像学检查及实验室检查费用、功能康复锻炼费用的情况。结果共纳入缺血性脑卒中患者243例。TOAST各亚型构成比如下:①心源性栓塞型(10%);②大动脉粥样硬化型(39%);③小动脉闭塞型(38%);④其他明确病因型(4%);⑤不明原因型(9%),各型比例中心源性栓塞及大动脉粥样硬化型较小动脉闭塞型住院总费用高,表现在治疗费用及药费上,其住院天数也相对较长,不明原因型其影像检查费用较小动脉闭塞组高。结论TOAST分型作为一种缺血性脑卒中病因分型方法,可为缺血性脑卒中的住院成本估计提供参考依据。我们可针对不同脑卒中亚型在诊治上有所侧重。更多还原

【Abstract】 Objective To analysis the proportion and difference of ischemic stroke subtypes according to the TOAST criteria. Methods Data were collected prospectively from consecutive stroke inpatients in The first affiliated hospital of medical college of Shantou university.After completing medical records and auxiliary diagnostic studies,all included patients were classified into 5 major iscbemic stroke subtypes based on TOAST criteria.Results 243 patients were included in this study.The proportion of ischemic stroke subtypes according to TOAST criteria was as follows:stroke of cardioembolism 10%,large-artery atherosclerosis 39%,small-vessel occlusion 38%,stroke of undetermined etiology 9%,stroke of other determined etiology 4%.The hospitalization expense of stroke of cardioembolism and large-artery atherosclerosis larger than the expense of small-vessel occlusion.Conclusions TOAST criterion should be useful to estimate the hospitalization expense of TOAST subtypes.更多还原