{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T21:47:18Z","timestamp":1762033638795,"version":"3.37.3"},"reference-count":29,"publisher":"FapUNIFESP (SciELO)","issue":"6","license":[{"start":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T00:00:00Z","timestamp":1559347200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T00:00:00Z","timestamp":1559347200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T00:00:00Z","timestamp":1559347200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Neuro-Psiquiatr."],"abstract":"<jats:p>ABSTRACT Few studies from low- and middle-income countries have assessed stroke and cerebral reperfusion costs from the private sector.  Objective  To measure the in-hospital costs of ischemic stroke (IS), with and without cerebral reperfusion, primary intracerebral hemorrhage (PIH), subarachnoid hemorrhage (SAH) and transient ischemic attacks (TIA) in two private hospitals in Joinville, Brazil.  Methods  Prospective disease-cost study. All medical and nonmedical costs for patients admitted with any stroke type or TIA were consecutively determined in 2016-17. All costs were adjusted to the gross domestic product deflator index and purchasing power parity.  Results  We included 173 patients. The median cost per patient was US$3,827 (IQR: 2,800-8,664) for the 131 IS patients; US$2,315 (IQR: 1,692-2,959) for the 27 TIA patients; US$16,442 (IQR: 5,108-33,355) for the 11 PIH patients and US$28,928 (IQR: 12,424-48,037) for the four SAH patients (p &lt; 0.00001). For the six IS patients who underwent intravenous thrombolysis, the median cost per patient was US$11,463 (IQR: 8,931-14,291), and for the four IS patients who underwent intra-arterial thrombectomy, the median cost per patient was US$35,092 (IQR: 31,833-37,626; p &lt; 0.0001). A direct correlation was found between cost and length of stay (r = 0.67, p &lt; 0.001).  Conclusions  Stroke is a costly disease. In the private sector, the costs of cerebral reperfusion for IS treatment were three-to-ten times higher than for usual treatments. Therefore, cost-effectiveness studies are urgently needed in low- and middle-income countries.<\/jats:p>","DOI":"10.1590\/0004-282x20190056","type":"journal-article","created":{"date-parts":[[2019,7,17]],"date-time":"2019-07-17T14:11:16Z","timestamp":1563372676000},"page":"393-403","source":"Crossref","is-referenced-by-count":21,"title":["The cost of stroke in private hospitals in Brazil: a one-year prospective study"],"prefix":"10.1590","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4317-6914","authenticated-orcid":false,"given":"Luana Gabriela Dalla Rosa","family":"VIEIRA","sequence":"first","affiliation":[{"name":"Universidade da Regi\u00e3o de Joinville,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1924-8279","authenticated-orcid":false,"given":"Juliana","family":"SAFANELLI","sequence":"additional","affiliation":[{"name":"Universidade da Regi\u00e3o de Joinville,  Brasil; Registro de AVC de Joinville,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6558-5415","authenticated-orcid":false,"given":"Tain\u00e1 de","family":"ARAUJO","sequence":"additional","affiliation":[{"name":"Universidade da Regi\u00e3o de Joinville,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7025-2754","authenticated-orcid":false,"given":"Helen Aparecida","family":"SCHUCH","sequence":"additional","affiliation":[{"name":"Registro de AVC de Joinville,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1384-9444","authenticated-orcid":false,"given":"Maria Helena Ribeiro","family":"KUHLHOFF","sequence":"additional","affiliation":[{"name":"Registro de AVC de Joinville,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3321-6110","authenticated-orcid":false,"given":"Vivian","family":"NAGEL","sequence":"additional","affiliation":[{"name":"Registro de AVC de Joinville,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7869-3490","authenticated-orcid":false,"given":"Adriana Bastos","family":"CONFORTO","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil; Hospital Israelita Albert Einstein,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3247-3123","authenticated-orcid":false,"given":"Gisele Sampaio","family":"SILVA","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil; Hospital Israelita Albert Einstein,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6121-7295","authenticated-orcid":false,"given":"Suleimy","family":"MAZIN","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5829-9699","authenticated-orcid":false,"given":"Norberto Luiz","family":"CABRAL","sequence":"additional","affiliation":[{"name":"Universidade da Regi\u00e3o de Joinville,  Brasil; Registro de AVC de Joinville,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2019,6]]},"reference":[{"issue":"8","key":"ref1","doi-asserted-by":"crossref","first-page":"2361","DOI":"10.1161\/STR.0b013e31829734f2","article-title":"Forecasting the future of stroke in the United States: a policy statement from the American Heart Association and American Stroke 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