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The results showed that despite high poststroke mortality,total charges in the year after stroke were 3.4 times those for the previous year.Although greater than 50%of utilization in the year poststroke occurred within the first 30 days,mean monthly charges for acute care remained significantly above prestroke levels for up to 5 months after the event.Post-stroke charges per person-day of follow-up were significantly higher for individuals who were hospitalized for the event,who had subarachnoid hemorrhage whose stroke occurred after admission to the hospital for another reason,and who died within 7 days.Significantly lower poststroke charges were evident for person with mild cerebral infarctions and persons who stroke occurred in a nursing home.Neither prestroke utilization,age, category,nor sex were predictive of poststroke charges.The unique population-based data presented here have important implications for efforts toward stroke prevention,intervention,and cost containment. |
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