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Lipenguet GM, Ngoungou EB, Ibinga E, Amani PG, Engohang-Ndong J, Bivigou EA, Nsounda AA, Wittwer J. Assessment of the direct hospital cost of medical care for patients hospitalized for a stroke in Gabon. Pan Afr Med J 2023; 45:95. [PMID: 37692986 PMCID: PMC10491710 DOI: 10.11604/pamj.2023.45.95.35702] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Accepted: 06/01/2023] [Indexed: 09/12/2023] Open
Abstract
While the incidence of stroke is increasing in developing countries, resulting in an extremely high economic burden, very few costing studies have been carried out to date. This study aims to measure the direct hospital costs of stroke management in Gabon. The study adopts a retrospective approach, based on a review of patient records in the Neurology and Cardiology Departments of the University Hospital of Libreville (CHUL) between January 2018 and December 2019. It focuses on all patients received for stroke at the CHUL during the study period, regardless of the outcome, analyzing direct hospital costs. Three hundred and thirteen (313) patients were admitted during the period in question, 72.52% in neurology and 27.48% in cardiology. The average age was 58.44 (±13.73 years). Fifty-six percent (56.23%) had health coverage. Ischemic stroke was more common than hemorrhagic stroke, at 79.55% and 20.45%, respectively. The average expenditure per patient was estimated at 619,633 CFA francs (€944.62). From the point of view of social security coverage, the average out-of-pocket expense per patient was 147,140 CFA francs (€224.31), for a reimbursement of 422,883 CFA francs (€644.68). The average direct cost of stroke is very high for both patients and administrations. This argues for the implementation of prevention programs for the disease. The results of this study may be useful for work on the efficiency of such programs.
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Affiliation(s)
- Gaëtan Moukoumbi Lipenguet
- Bordeaux Health Population, Inserm U1219 University of Bordeaux, 33076 Bordeaux Cedex, France
- Research Unit in Epidemiology of Chronic Diseases and Environmental Health (UREMCSE), University of Health Sciences, Libreville, Gabon
- Department of Epidemiology, Biostatistics and Medical Informatics (DEBIM), University of Health Sciences, Faculty of Medicine, Libreville, Gabon
| | - Edgard Brice Ngoungou
- Research Unit in Epidemiology of Chronic Diseases and Environmental Health (UREMCSE), University of Health Sciences, Libreville, Gabon
- Department of Epidemiology, Biostatistics and Medical Informatics (DEBIM), University of Health Sciences, Faculty of Medicine, Libreville, Gabon
| | - Euloge Ibinga
- Research Unit in Epidemiology of Chronic Diseases and Environmental Health (UREMCSE), University of Health Sciences, Libreville, Gabon
- Department of Epidemiology, Biostatistics and Medical Informatics (DEBIM), University of Health Sciences, Faculty of Medicine, Libreville, Gabon
| | - Prudence Gnamien Amani
- Bordeaux Health Population, Inserm U1219 University of Bordeaux, 33076 Bordeaux Cedex, France
| | - Jean Engohang-Ndong
- Department of Epidemiology, Biostatistics and Medical Informatics (DEBIM), University of Health Sciences, Faculty of Medicine, Libreville, Gabon
- Department of Biological Sciences, Kent State University at Tuscarawas, New Philadelphia, United States of America
| | - Elsa Ayo Bivigou
- Department of Cardiology, Centre Hospitalier Universitaire de Libreville, Libreville, Gabon
| | - Andréa Annick Nsounda
- Department of Neurology, Centre Hospitalier Universitaire de Libreville, Libreville, Gabon
| | - Jérôme Wittwer
- Bordeaux Health Population, Inserm U1219 University of Bordeaux, 33076 Bordeaux Cedex, France
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