Date of Award
2015
Document Type
Dissertation
Degree Name
Doctor of Health Administration
College
College of Health Professions
First Advisor
Kit N. Simpson
Second Advisor
Michelle L. Woodbury
Third Advisor
Annie N. Simpson
Fourth Advisor
Amit Shah
Abstract
This study used a 5% sample of Medicare billing records from 2012 to identify cost differences between posterior circulation (PCS) and anterior circulation strokes (ACS). We examined ICD-9 codes related to these stroke types at hospital admission, records for six months post stroke, or until death, and identified mean payment and charges by type of care received. The Charlson Comorbidity Score was used to control for the effects of comorbid conditions on cost, survival, and the use of tPA during the Index admission. We identified 105 PCS and a comparison group of 5230 subjects with ACS and compared mean Medicare payment data from initial hospital admission, physician hospital payments, inpatient rehabilitation, outpatient rehabilitation, physician office visits, home healthcare, DME, nursing home care, hospital readmissions, and hospice care. As hypothesized, PCS have greater costs than ACS during early recovery from an ischemic stroke.
Recommended Citation
Lengers, Brian Matthew, "Posterior Versus Anterior Circulation Strokes: Comparison of Treatment Costs, and Outcomes for Medicare Patients" (2015). MUSC Theses and Dissertations. 464.
https://medica-musc.researchcommons.org/theses/464
Rights
All rights reserved. Copyright is held by the author.