Autor según el artículo: Lucas-Noll, Jorgina; Lleixà-Fortuño, Mar; Queralt-Tomas, Lluïsa; Panisello-Tafalla, Anna; Carles-Lavila, Misericòrdia; Clua-Espuny, José L.
Departamento: Economia
Autor/es de la URV: Carles Lavila, Misericòrdia / Lleixà Fortuño, Maria del Mar
Palabras clave: Stroke Primary care Ictus Costs Burden Atencion primaria spain projections primary care management implementation impact costs
Resumen: 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.
Áreas temáticas: 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
Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
Direcció de correo del autor: mar.lleixa@urv.cat misericordia.carles@urv.cat
Identificador del autor: 0000-0003-1411-8790 0000-0003-3796-3014
Fecha de alta del registro: 2024-04-27
Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
URL Documento de licencia: http://repositori.urv.cat/ca/proteccio-de-dades/
Referencia al articulo segun fuente origial: Atencion Primaria. 55 (3): 4-4
Referencia de l'ítem segons les normes 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
DOI del artículo: 10.1016/j.aprim.2023.102578
Entidad: Universitat Rovira i Virgili
Año de publicación de la revista: 2023
Tipo de publicación: Journal Publications
Repositori URV