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Organización y costes de la atención extrahospitalaria del ictus. Revisión sistemática de la literatura

  • Identification data

    Identifier: imarina:9291915
  • Authors:

    Lucas-Noll, Jorgina
    Lleixà-Fortuño, Mar
    Queralt-Tomas, Lluïsa
    Panisello-Tafalla, Anna
    Carles-Lavila, Misericòrdia
    Clua-Espuny, José L.
  • Others:

    Author, as appears in the article.: Lucas-Noll, Jorgina; Lleixà-Fortuño, Mar; Queralt-Tomas, Lluïsa; Panisello-Tafalla, Anna; Carles-Lavila, Misericòrdia; Clua-Espuny, José L.
    Department: Economia
    URV's Author/s: Carles Lavila, Misericòrdia / Lleixà Fortuño, Maria del Mar
    Keywords: Stroke Primary care Ictus Costs Burden Atencion primaria spain projections primary care management implementation impact costs
    Abstract: Objective: To review the bibliography on stroke costs (ICD-10 code I63) in the field of primary care. Design: Systematic review. Data sources: PubMed/Medline, ClinicalTrials.gov, Cochrane Reviews, EconLit, and Ovid/Embase between 01/01/2012–12/31/2021 with descriptors included in Medical Subject Heading (MeSH). Selection of studies: Those with a description of the costs of activities carried out in the out-of-hospital setting. Systematic reviews were included; prospective and retrospective observational studies; analysis of databases and total or partial costs of stroke as a disease (COI). Articles were added using the snowball method. The studies were excluded because: a) not specifically related to stroke; b) in editorial or commentary format; c) irrelevant after review of the title and abstract; and d) gray literature and non-academic studies were excluded. Data extraction: They were assigned a level of evidence according to the GRADE levels. Direct and indirect cost data were collected. Results and conclusions: Thirty studies, of which 14 (46.6%) were related to post-stroke costs and 12 (40%) to cardiovascular prevention costs. The results show that most of them are retrospective analyzes of different databases of short-term hospital care, and do not allow a detailed analysis of the costs by different segments of services. The possibilities for improvement are centered on primary and secondary prevention, selection and pre-hospital transfer, early discharge with support, and social and health care.
    Thematic Areas: Saúde coletiva Primary health care Medicine, general & internal Medicine (miscellaneous) Medicina ii Medicina i Interdisciplinar General medicine Farmacia Family practice Ensino Engenharias i Enfermagem Artes
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: mar.lleixa@urv.cat misericordia.carles@urv.cat
    Author identifier: 0000-0003-1411-8790 0000-0003-3796-3014
    Record's date: 2024-04-27
    Papper version: info:eu-repo/semantics/publishedVersion
    Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Atencion Primaria. 55 (3): 4-4
    APA: Lucas-Noll, Jorgina; Lleixà-Fortuño, Mar; Queralt-Tomas, Lluïsa; Panisello-Tafalla, Anna; Carles-Lavila, Misericòrdia; Clua-Espuny, José L. (2023). Organización y costes de la atención extrahospitalaria del ictus. Revisión sistemática de la literatura. Atencion Primaria, 55(3), 4-4. DOI: 10.1016/j.aprim.2023.102578
    Article's DOI: 10.1016/j.aprim.2023.102578
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2023
    Publication Type: Journal Publications
  • Keywords:

    Family Practice,Medicine (Miscellaneous),Medicine, General & Internal,Primary Health Care
    Stroke
    Primary care
    Ictus
    Costs
    Burden
    Atencion primaria
    spain
    projections
    primary care
    management
    implementation
    impact
    costs
    Saúde coletiva
    Primary health care
    Medicine, general & internal
    Medicine (miscellaneous)
    Medicina ii
    Medicina i
    Interdisciplinar
    General medicine
    Farmacia
    Family practice
    Ensino
    Engenharias i
    Enfermagem
    Artes
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