Assessing the Duration of Unnecessary Hospitalization and Expenses in Older Individuals Suffering From Cerebral Vascular Accident in the Chronic Care Unit

Nikookar, Reza; Ghaffari, Shahram; Akbari Kamrani, Ahmad Ali; Sahaf, Robab; Moghadam, Manizhe; Ghadimi, Mahmod Reza

Volume 10, Issue 2 (7-2015) Salmand: Iranian Journal of Ageing 2015, 10(2): 180-187 | Back to browse issues page

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Nikookar R, Ghaffari S, Akbari Kamrani A A, Sahaf R, Moghadam M, Ghadimi M R. Assessing the Duration of Unnecessary Hospitalization and Expenses in Older Individuals Suffering From Cerebral Vascular Accident in the Chronic Care Unit . Salmand: Iranian Journal of Ageing 2015; 10 (2) :180-187
URL: http://salmandj.uswr.ac.ir/article-1-819-en.html

Assessing the Duration of Unnecessary Hospitalization and Expenses in Older Individuals Suffering From Cerebral Vascular Accident in the Chronic Care Unit

Reza Nikookar¹

, Shahram Ghaffari²

, Ahmad Ali Akbari Kamrani³

, Robab Sahaf ^*

⁴, Manizhe Moghadam³

, Mahmod Reza Ghadimi⁵

1- Iranian Social Security Organization, Fayyaz Bakhsh Hospital, Tehran, Iran.
2- Deputy of Education, Iranian Social Security Organization, Tehran, Iran.
3- Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
4- Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. , robabsahaf@ gmail.com
5- Deputy of Economic & Planning Affairs, Iranian Social Security Organization, Tehran, Iran.

Abstract: (11084 Views)

Objectives Health system costs are progressively increasing due to several factors such as the increase in the number of elderly population with chronic diseases. Therefore, the efficient use of limited financial and human resources are very important. We aimed to review unnecessary health care cost of elderly patients with stroke in acute care department of Fayyaz Bakhsh Hospital, Tehran and comparison with subacute care unit.
Methods & Materials In this descriptive study, 51 patients admitted to the neurological unit of the Fayyaz Bakhsh Hospital were included.
Results The average Length of Stay (LOS) was 8.3 days. 30 patients needed subacute care, which will result in average LOS in acute and subacute care of 6.2 and 2.1 days respectively (P<0.001). Moreover, the average cost of per patient and day hospitalization was 1.182.000 (ir.rials) and 1.416.000 (ir.rials), respectively, of which 17% were transferable to subacute care.
Conclusion The results showed that 25% of LOS and 17% of the cost of the acute care to subacute care unit is transferable.

Keywords: Elderly, Stroke, Acute care, Subacute care

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Type of Study: Research | Subject: gerontology
Received: 2015/02/05 | Accepted: 2015/05/20 | Published: 2015/07/01

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