2000 Fiscal Year Final Research Report Summary
Cost efficacy of rehabilitation treatment for strok patients.
| Project/Area Number |
11835043
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Institution | JIKEI UNIVERSITY SCHOOL OF MEDICINE |
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Principal Investigator |
MIYANO Satoshi 東京慈恵会医科大学, 医学部, 教授 (30190804)
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| Co-Investigator(Kenkyū-buntansha) |
冨田 祐司 東京慈恵会医科大学, 医学部, 助手 (20266654)
安保 雅博 東京慈恵会医科大学, 医学部, 講師 (00266587)
渡邉 修 東京慈恵会医科大学, 医学部, 講師 (30256466)
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| Project Period (FY) |
1999 – 2000
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| Keywords | Stroke / Rehabilitation / Long-term care insurance / ADL Dependent Score / Cost efficacy |
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| Research Abstract |
Cost efficacy of rehabilitation treatment for stroke patients
-From the view of the change of ADL dependent score, and the cost-
Purpose : We tried to evaluate the rehabilitation outcome of the stroke patients from the view point of cost efficacy.
Subjects : We studied 90 stroke patients, who admitted to the rehabilitation ward after the acute medical care was finished. Their mean age was 62.3 y.o. with 47 males and 43 females.
Methods : Japan health ministry developed an ADL dependent Score (ADLD Score), which was classified into 6 grades (0, I,II,III,IV,V). We evaluated and classified stroke patients by the ADLD Score at the admission. Then we evaluated them again at the time of the discharge by that score. Also we examined the length of stay in the hospital and how much these patients paied to the health insurance. We calculated how the ADLD Score decreased while staying in the hospital, and how much they paid for the hospital costs.
Results and Conclusions
At the admission 9 patients wer
… More
e in V grade of ADLD Score, 15 patients in IV, 22 patients in III,23 patients in II,13 patients in I,4 patients in 0 grade and 4 patients independent. However at the discharge, there were patients in V grade, 2 patients in IV, 11 patients in III, 17 patients in II, 24 patients in I,15 one patient in 0 grade and 20 patients were independent.The length of stay in the hospital were closely related with the hospital costs. Patients with high ADLD Score tended to pay high hospital costs. However the degree of improvement of ADLD Score by the rehabilitation treatment had no relation to the hospital costs.Patients with high ADLD Score tended to pay high hospital costs. However the degree of improvement of ADLD Score by the rehabilitaion treatment had no relation to the hospital costs.
If the functional level of ADL at the discharge will be kept for the following 2 years, and if their ADLD Score will decrease by 2 grade during the hospital stay, rehabilitation treatment for stroke patients will be cost-effective. Less
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