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Patients & Public > Research using SSNAP data > Lay Summaries > How much does stroke care cost in England, Wales, and Northern Ireland?

Lay Summaries - How much does stroke care cost in England, Wales, and Northern Ireland?

Lay summary: How much does stroke care really cost in England, Wales, and Northern Ireland?


Using SSNAP data, it has been possible to calculate in detail the exact cost of stroke care. The total cost of health and social care for stroke patients each year in England, Wales, and Northern Ireland was £3.60 billion in the first five years after admission (average cost per patient: £46,039). The costs per patient ranged from £19,101 to £107,336. Costs were higher for older patients, patients who had more severe strokes, and patients who had haemorrhagic strokes (strokes caused by bleeding in or around the brain).

Atrial fibrillation is a heart condition that causes an irregular and often abnormally fast heart rate. The cost of stroke care for patients who had atrial fibrillation before their stroke was higher than for patients who did not have atrial fibrillation before their stroke. This evidence should be used to persuade politicians and healthcare planners to invest more in diagnosing and treating patients with atrial fibrillation.

Increasing the number of patients who could receive a blood clot-dissolving drug was estimated to save health and social care costs by five years after stroke. Access to early supported discharge (discharge of a stroke patient from hospital to their own home, co-ordinated by a team of therapists, nurses and a doctor) was also estimated to save health and social care costs by five years after stroke. This information is useful to help make the case that improvements in stroke care quality can also help to reduce the cost of stroke for health and social care providers.



About the paper:
Paper title: 'The economic burden of stroke care in England, Wales and Northern Ireland: Using a national stroke register to estimate and report patient-level health economic outcomes in stroke.'
Year published: 2017
Authors: Xiang-Ming Xu, Emma Vestesson, Lizz Paley, Anita Desikan, David Wonderling, Alex Hoffman, Charles DA Wolfe, Anthony G Rudd, Benjamin D Bray (on behalf of the SSNAP collaboration).

A summary of this paper was published in the article '20 years of researching stroke through audit'.
View the full paper here.
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