The Future Cost of Stroke in Ireland: an Analysis of the Potential Impact of Demographic Change and Implementation of Evidence-based Therapies

May 31, 2013 | Journal Article

Authors: Samantha Smith , Frances Horgan , Eithne Sexton , Seamus Cowman , Anne Hickey , Peter Kelly , Hannah McGee , Sean Murphy
Age and Ageing , Vol. 42 , Issue 3 , May 2013 , pp. 299-306

Background and purpose: this paper examines the impact of demographic change from 2007 to 2021 on the total cost of stroke in Ireland and analyses potential impacts of expanded access to stroke unit care and thrombolytic therapy on stroke outcomes and costs.

Methods: total costs of stroke are estimated for the projected number of stroke cases in 2021 in Ireland. Analysis also estimates the potential number of deaths or institutionalised cases averted among incident stroke cases in Ireland in 2007 at different rates of access to stroke unit care and thrombolytic therapy. Drawing on these results, total stroke costs in Ireland in 2007 are recalculated on the basis of the revised numbers of incident stroke patients estimated to survive stroke, and of the numbers estimated to reside at home rather than in a nursing home in the context of expanded access to stroke units or thrombolytic therapy.

Results: future costs of stroke in Ireland are estimated to increase by 52?57% between 2007 and 2021 on the basis of demographic change. The projected increase in aggregate stroke costs for all incident cases in 1 year in Ireland due to the delivery of stroke unit care and thrombolytic therapy can be offset to some extent by reductions in nursing home and other post-acute costs.

  • Publication Details

    Journal Article

    ESRI Series Number: 201309
    Research Area: Health and Quality of Life
    Date of Publication: May 31, 2013
    Published Online: January 09, 2013
    Publisher: Oxford University Press
    Place of Publication: Oxford
    View External Link

© 2015 The Economic and Social Research Institute. All rights reserved. Website by JET Design