An Analysis of the Incidence and Cost of Intracranial Aneurysm and Subarachnoid Haemorrhage Treatment between 2013 and 2021

Andrzej Śliwczyński (), Maciej Jewczak, Małgorzata Dorobek, Kamila Furlepa, Izabela Gołębiak, Edyta Skibińska and Iwona Sarzyńska-Długosz
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Andrzej Śliwczyński: Faculty of Medicine, Lazarski University, 02-662 Warsaw, Poland
Maciej Jewczak: Department of Operations Research, Faculty of Economics and Sociology, University of Lodz, 90-214 Lodz, Poland
Małgorzata Dorobek: Central Clinical Hospital of the Ministry of Interior and Administration, 02-507 Warsaw, Poland
Kamila Furlepa: Faculty of Medicine, Lazarski University, 02-662 Warsaw, Poland
Izabela Gołębiak: Faculty of Medicine, Lazarski University, 02-662 Warsaw, Poland
Edyta Skibińska: Hospital and Healthcare Management, College of Business Administration, American University in the Emirates, Dubai P.O. Box 503000, United Arab Emirates
Iwona Sarzyńska-Długosz: 2nd Department of Neurology, Institute of Psychiatry and Neurology, 02-957 Warsaw, Poland

IJERPH, 2023, vol. 20, issue 5, 1-19

Abstract: The incidence of unruptured intracranial aneurysms (UIAs) amounts to 3.2% among adults. The annual risk of aneurysm rupture is 2–10% and it results in subarachnoid haemorrhage (SAH). The aim of this study is to assess changes in the incidence of unruptured intracranial aneurysms and subarachnoid haemorrhages in Poland between 2013 and 2021 and the cost associated with their in-hospital treatment in the acute phase. The analysis was based on the National Health Fund database. Patients diagnosed with UIA and SAH and hospitalised between 2013 and 2021 were chosen. The statistical analysis was performed with an assumed significance level of α = 0.05. The ratio between the prevalence of SAH and UIA diagnoses was 4:6. The proportion of women in relation to men was higher in both diagnoses. The highest proportions of patients with diagnoses SAH and UIA were found in highly urbanised provinces. The value of medical services in 2021 compared to 2013 increased by 81.8%. The highest values in this period were recorded in Mazowieckie province, and the lowest were recorded in Opolskie province. The overall number of patients hospitalised with diagnosis of UIA or SAH did not decrease, but the risk of aneurysm rupture probably decreased, which resulted in lower incidence of SAH in subsequent years of observation. The recorded changes in the dynamics of the value of medical services per patient or per hospitalisation largely coincided. However, it is difficult to speculate on expected value levels as not all provinces showed linear changes in the value of services provided.

Keywords: unruptured intracranial aneurysms; subarachnoid haemorrhage; incidence; cost of treatment (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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