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Table 3 Trend estimates for post-stroke healthcare service utilization and costs by sub-groups

From: Healthcare utilization and cost trajectories post-stroke: role of caregiver and stroke factors

 

Q1

Q2

Q3

Q4

p-value

Outpatient (SOC) Servicea

IRR

IRR (95% CI)

IRR (95% CI)

IRR (95% CI)

 

 Disability (mRS)

  No or slight disability (0–2)

Ref

0.87 (0.68, 1.10)

0.58 (0.50, 0.67)

0.54 (0.46, 0.63)

< 0.001

  Moderate or severe disability (3–5)

Ref

1.09 (0.96, 1.23)

0.86 (0.74, 1.00)

0.87 (0.73, 1.05)

0.035

Outpatient (PC) Costsa

Exp(β)

Exp(β) (95% CI)

Exp(β) (95% CI)

Exp(β) (95% CI)

 

 Ischemic stroke

  Mild (0–4)

Ref

1.15 (0.97, 1.35)

1.02 (0.85, 1.21)

1.10 (0.91, 1.33)

0.577

  Moderately severe (5–14)

Ref

1.67 (1.22, 2.30)

1.74 (1.30, 2.33)

1.64 (1.18, 2.29)

0.003

  Severe (15–24)

Ref

2.27 (0.56, 9.15)

2.72 (0.69, 10.74)

3.20 (0.73, 13.97)

0.102

 Non-Ischemic stroke

  Mild (0–4)

Ref

1.10 (0.64, 1.91)

1.84 (1.01, 3.35)

1.64 (0.85, 3.15)

0.067

  Moderately severe (5–14)

Ref

1.61 (0.97, 2.67)

3.15 (1.76, 5.65)

2.44 (1.33, 4.48)

0.001

  Severe (15–24)

Ref

2.18 (0.47, 10.14)

4.92 (0.86, 28.18)

4.77 (0.97, 23.41)

0.032

  1. Abbreviations: Ref reference category, IRR incidence rate ratio, CI confidence interval, SOC specialist outpatient clinic, PC primary care, Exp(β) exponentiated beta coefficient corresponds to the ratio of expected cost from Q2 to Q4 to the reference quarter respectively
  2. aEffect estimates based on Model 3: SOC Service included interaction between mRS and quarter (p < 0.001) term; PC Cost included interaction between stroke type and quarter (p = 0.017) and between severity and quarter (p = 0.039) terms