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Medical Costs of Stroke Care Between Women With and Without Dysmenorrhea: A Population-Based Comparison

Objective: This study investigated the medical care costs of stroke type between age-matched cohorts with and without dysmenorrhea using the National Health Insurance Research Database (NHIRD). Methods: We collected all 66,048 women with dysmenorrhea and 66,048 women without dysmenorrhea whose age (...

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Autores principales: Lin, Ya-Wen, Sung, Fung-Chang, Lin, Ming-Hung, Muo, Chih-Hsin, Teng, Yu-Kuei, Kao, Chia-Hung, Tzeng, Ya-Ling
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8448252/
https://www.ncbi.nlm.nih.gov/pubmed/34540785
http://dx.doi.org/10.3389/fpubh.2021.699359
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author Lin, Ya-Wen
Sung, Fung-Chang
Lin, Ming-Hung
Muo, Chih-Hsin
Teng, Yu-Kuei
Kao, Chia-Hung
Tzeng, Ya-Ling
author_facet Lin, Ya-Wen
Sung, Fung-Chang
Lin, Ming-Hung
Muo, Chih-Hsin
Teng, Yu-Kuei
Kao, Chia-Hung
Tzeng, Ya-Ling
author_sort Lin, Ya-Wen
collection PubMed
description Objective: This study investigated the medical care costs of stroke type between age-matched cohorts with and without dysmenorrhea using the National Health Insurance Research Database (NHIRD). Methods: We collected all 66,048 women with dysmenorrhea and 66,048 women without dysmenorrhea whose age (15-44-year-old) and index year (from 1997 to 2013) were matched for comparison. We assessed the incidence and compared the risk of stroke and stroke subtype in two cohorts. The proportional distributions of stroke subtypes by age between the two cohorts were compared among the women with stroke, and their hospitalization rate was also estimated. In addition, medical cost, length of stay, and the medical cost within 30 days after stroke were compared between the two cohorts. Results: The stroke risk in dysmenorrhea was greater than comparisons (HR = 1.26, 95% CI = 1.11–1.42). Proportionally, hemorrhagic stroke (HS) significantly decreased with age in both cohorts, whereas ischemic stroke (IS) significantly increased with age when both cohorts were combined. The dysmenorrhea cohort had a higher portion of transient cerebral ischemia (TIA) stroke than comparisons (31.3 vs. 24.2%, p = 0.01) and a lower risk of hospitalization for IS (OR = 0.48, 95% CI = 0.21–0.69). Among the four-stroke subtypes, the cost of care for TIA was the least (US$157 ± 254). The average cost for stroke care was not significantly different between women with and without dysmenorrhea. Conclusion: The hospitalization rate and medical costs of TIA are lower than other types. All women should prevent and treat TIA as soon as possible to avoid recurrence or progression to major stroke events and reduce medical costs, regardless of whether they have dysmenorrhea.
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spelling pubmed-84482522021-09-18 Medical Costs of Stroke Care Between Women With and Without Dysmenorrhea: A Population-Based Comparison Lin, Ya-Wen Sung, Fung-Chang Lin, Ming-Hung Muo, Chih-Hsin Teng, Yu-Kuei Kao, Chia-Hung Tzeng, Ya-Ling Front Public Health Public Health Objective: This study investigated the medical care costs of stroke type between age-matched cohorts with and without dysmenorrhea using the National Health Insurance Research Database (NHIRD). Methods: We collected all 66,048 women with dysmenorrhea and 66,048 women without dysmenorrhea whose age (15-44-year-old) and index year (from 1997 to 2013) were matched for comparison. We assessed the incidence and compared the risk of stroke and stroke subtype in two cohorts. The proportional distributions of stroke subtypes by age between the two cohorts were compared among the women with stroke, and their hospitalization rate was also estimated. In addition, medical cost, length of stay, and the medical cost within 30 days after stroke were compared between the two cohorts. Results: The stroke risk in dysmenorrhea was greater than comparisons (HR = 1.26, 95% CI = 1.11–1.42). Proportionally, hemorrhagic stroke (HS) significantly decreased with age in both cohorts, whereas ischemic stroke (IS) significantly increased with age when both cohorts were combined. The dysmenorrhea cohort had a higher portion of transient cerebral ischemia (TIA) stroke than comparisons (31.3 vs. 24.2%, p = 0.01) and a lower risk of hospitalization for IS (OR = 0.48, 95% CI = 0.21–0.69). Among the four-stroke subtypes, the cost of care for TIA was the least (US$157 ± 254). The average cost for stroke care was not significantly different between women with and without dysmenorrhea. Conclusion: The hospitalization rate and medical costs of TIA are lower than other types. All women should prevent and treat TIA as soon as possible to avoid recurrence or progression to major stroke events and reduce medical costs, regardless of whether they have dysmenorrhea. Frontiers Media S.A. 2021-09-03 /pmc/articles/PMC8448252/ /pubmed/34540785 http://dx.doi.org/10.3389/fpubh.2021.699359 Text en Copyright © 2021 Lin, Sung, Lin, Muo, Teng, Kao and Tzeng. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Lin, Ya-Wen
Sung, Fung-Chang
Lin, Ming-Hung
Muo, Chih-Hsin
Teng, Yu-Kuei
Kao, Chia-Hung
Tzeng, Ya-Ling
Medical Costs of Stroke Care Between Women With and Without Dysmenorrhea: A Population-Based Comparison
title Medical Costs of Stroke Care Between Women With and Without Dysmenorrhea: A Population-Based Comparison
title_full Medical Costs of Stroke Care Between Women With and Without Dysmenorrhea: A Population-Based Comparison
title_fullStr Medical Costs of Stroke Care Between Women With and Without Dysmenorrhea: A Population-Based Comparison
title_full_unstemmed Medical Costs of Stroke Care Between Women With and Without Dysmenorrhea: A Population-Based Comparison
title_short Medical Costs of Stroke Care Between Women With and Without Dysmenorrhea: A Population-Based Comparison
title_sort medical costs of stroke care between women with and without dysmenorrhea: a population-based comparison
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8448252/
https://www.ncbi.nlm.nih.gov/pubmed/34540785
http://dx.doi.org/10.3389/fpubh.2021.699359
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