, 12:P6,
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The cost of treating an acute ischaemic stroke event and follow-up at a teaching hospital in Malaysia: a Casemix costing analysis

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Stroke is a continuum spectrum of complications related to the cerebrovascular event. Economic evaluation usually estimates costs incurred during acute management phase. Costs for managing post stroke patients at Specialist clinic setting and outpatient rehabilitation are of interest for developing countries which largely provide this type of service. We aim to determine costs for treating acute ischaemic stroke and subsequent follow-up after discharge at a tertiary teaching hospital.


Cost analysis was done via top down costing and from the healthcare providers’ perspective. Casemix database was used to collect data on consecutive admissions for acute stroke events based on severity for period of January to December 2010. Patients’ follow-up visits to the Specialists’ Outpatient clinics and stroke rehabilitation were traced through HIS to facilitate cost aggregation, as this is not generated by the Casemix system. MY DRG codes were referred to in estimating cost at al