Neurological Sciences

, Volume 26, Issue 2, pp 72–80

The economic burden of stroke in Italy. The EcLIPSE Study: Economic Longitudinal Incidence-based Project for Stroke Evaluation

  • S. Gerzeli
  • R. Tarricone
  • P. Zolo
  • I. Colangelo
  • M. R. Busca
  • C. Gandolfo
ORIGINAL

DOI: 10.1007/s10072-005-0439-0

Cite this article as:
Gerzeli, S., Tarricone, R., Zolo, P. et al. Neurol Sci (2005) 26: 72. doi:10.1007/s10072-005-0439-0

Abstract

Stroke is the second most common cause of death in the world. The aim of this study is to estimate stroke’s direct costs and productivity losses in Italy from a societal perspective and to explain cost variability. A prospective observational multicentre cost of illness study was designed. Four hundred and forty-nine consecutive patients admitted because of acute first-ever stroke in 11 Italian hospitals were enrolled. Costs and outcomes were assessed at patients’ enrolment, and at 3, 6 and 12 months after discharge. Overall, social costs in the first six months following the attack were € 11 600 per patient; 53% of this was health care costs, 39% non-health care costs and the remaining 8% productivity losses. Age, level of disability and type of hospital ward were the most significant predictors of six-month social costs. The acute phase counted for more than 50% of total health care costs, leaving the remaining 50% to the post-acute phase, indicating that follow-up should be on the agenda of policy makers also.

Key words

Stroke Cost of illness Italy Economics Caregivers 

Copyright information

© Springer-Verlag Italia 2005

Authors and Affiliations

  • S. Gerzeli
    • 1
  • R. Tarricone
    • 2
  • P. Zolo
    • 3
  • I. Colangelo
    • 2
  • M. R. Busca
    • 4
  • C. Gandolfo
    • 5
  1. 1.Department of Applied Statistics and Economics “Libero Lenti”University of PaviaPaviaItaly
  2. 2.Bocconi UniversityMilanItaly
  3. 3.Neurological DepartmentHospital “S. Donato”ArezzoItaly
  4. 4.Global Health Economic and Outcomes Research (HEOR), Bayer SpaMilanItaly
  5. 5.Department of Neuroscience, Ophthalmology and GeneticsUniversity of GenoaGenoaItaly

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