Economic Burden of Stroke Disease: A Systematic Review

Thinni Nurul Rochmah, Indana Tri Rahmawati, Maznah Dahlui, Wasis Budiarto and Nabilah Bilqis
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Thinni Nurul Rochmah: Department of Health Administration and Policy, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
Indana Tri Rahmawati: Department of Health Administration and Policy, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
Maznah Dahlui: Department of Health Administration and Policy, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
Wasis Budiarto: Department of Health Administration and Policy, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
Nabilah Bilqis: Department of Health Administration and Policy, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia

IJERPH, 2021, vol. 18, issue 14, 1-16

Abstract: Globally, one of the main causes of non-communicable disease as a cause of death every year is stroke. The objective of this study was to analyze the burden in consequence of stroke. This research used a systematic review method. Furthermore, a search for articles was carried out in June–July 2020. Four databases were used to search articles from 2015 to 2020. Eligible studies were identified, analyzed, and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The inclusion criteria were prospective cost studies, retrospective cost studies, database analysis, mathematical models, surveys, and COI studies that assess burden of stroke in primary and referral healthcare (hospital-based). The results showed that from four databases, 9270 articles were obtained, and 13 articles were qualified. A total of 9270 articles had the identified search keywords, but only 13 articles met the set criteria for inclusion. The criteria for inclusion were stroke patients, the economic burden of stroke disease based on cost of illness method, which is approximately equal to USD 1809.51–325,108.84 (direct costs 86.2%, and indirect costs 13.8%). Those that used the health expenditure method did not present the total cost; instead, only either direct or indirect cost of health expenditure were reported. For most hospital admissions due to stroke, LOS (length of stay) was the dominant cost. The high economic burden to manage stroke justifies the promotion and preventive efforts by the policymakers and motivates the practice of healthy lifestyles by the people.

Keywords: economic burden of disease; length of stay; stroke; cerebrovascular accident (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (4)

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