, Volume 21, Supplement 1, pp 43–50 | Cite as

The Economic Burden of Stroke in the United Kingdom

  • Penny Youman
  • Koo Wilson
  • Farzaneh Harraf
  • Lalit Kalra
Original Research Article


Aim: To estimate the cost of treating stroke in the UK.

Methods: A cost-of-illness model was constructed to estimate stroke-related costs over a 5-year period. The cost estimates were based on data from a large, randomised, prospective study comparing alternative strategies of stroke care. The study collected detailed data on resource use in hospital, primary care, healthcare contacts, and utilisation of social services over a period of 1 year following stroke. A Markov framework was used to extrapolate 1-year costs over 5 years.

Results: The model estimated that, for every patient who experiences a stroke, the cost to the NHS in the UK is £15 306 over 5 years and, when informal care costs are included, the amount increases to £29 405 (2001/2002 prices). The robustness of the cost findings was explored with the use of sensitivity analysis. This focused on the key variables of rates of recurrent stroke, the estimated acute costs, and costs attached to institution and home care.

Conclusion: As well as being a considerable cause of morbidity and mortality, stroke is also a huge cost burden to both the UK’s NHS and the carers of stroke victims.


Acute Stroke Informal Care Severe Stroke Personal Social Service Mild Stroke 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



This study was supported by a grant from Pfizer Ltd to Fourth Hurdle, a contract research organisation.


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Copyright information

© Adis International Limited 2003

Authors and Affiliations

  • Penny Youman
    • 1
  • Koo Wilson
    • 2
  • Farzaneh Harraf
    • 3
  • Lalit Kalra
    • 3
  1. 1.Fourth Hurdle Consulting LtdHolborn, LondonUK
  2. 2.Pfizer LtdWalton Oaks, Tadworth, SurreyUK
  3. 3.Department of MedicineGuy’s, King’s and St Thomas’s School of MedicineLondonUK

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