Evaluation on effect and health economics of stroke unit

Objective: To explore effect and health economic evaluation of stroke unit on stroke patients in order to make the best strategy for stroke treatment. Method: Objects of this research were divided into two groups: stroke unit group(SU) and general ward group(GW). The key indexes recorded were case fatality, average length of inpatient stay, lung infection rate, National Institutes of Health Stroke Scale(NIHSS), Barthel index(BI) and modified Rankin scale (MRS). The health economic evaluation was determined by using cost-effectiveness analysis(CEA) and increment analysis. Result:①Compared with GW as leaving hospital, improving extent of various scores in SU were better(P0.05). ②Case fatality, lung infection rate, average hospitalization duration in SU were less than in GW(P0.05).③The average expenditure of inpatient had no significant difference between two groups (P0.05), however the difference in medicine cost, rehabilitation cost and various examining cost were significant(P0.05). ④The expenditure was less in SU than in GW, when NIHSS reduced one point, BI increased one point and MRS reduced one point respectively. Conclusion: SU could significantly contribute to functional recovery of stroke patients and reduce case fatality and lung infection rate.