Table 1.
Resource Utilization and Costs
| SST+tPA (n=98) | tPA (n=92) | P Value | |
|---|---|---|---|
| Index hospitalization | |||
| Length of stay, d | |||
| Mean±SD | 9.2±6.3 | 8.9±6.0 | 0.759 |
| Median (IQR) | 7.0 (5.0–11.0) | 7.2 (5.0–10.5) | |
| ICU length of stay, d | |||
| Mean±SD | 4.0±3.9 | 4.0±4.5 | 0.941 |
| Median (IQR) | 2.8 (2.0–5.0) | 3.0 (1.6–5.0) | |
| Procedural costs, $ | |||
| Mean±SD | 14 640±5 122 | … | |
| Median (IQR) | 13 576 (11 982–18 153) | … | |
| Nonprocedural hospital costs, $ | |||
| Mean±SD | 28 605±16 566 | 27 320±14 326 | 0.549 |
| Median (IQR) | 21 095 (17 292–36 555) | 23 571 (18 089–31 720) | |
| Physician costs, $ | |||
| Mean±SD | 2517±695 | 1258±497 | <0.001 |
| Median (IQR) | 2 388 (2166–2808) | 1147(1003–1411) | |
| Total index hospital costs, $ | |||
| Mean±SD | 45 761±18 401 | 28 578±14 743 | <0.001 |
| Median (IQR) | 39 825 (33 534–55 521) | 24 917 (19 218–32 887) | |
| Hospital discharge–90 d | |||
| Proportion of patients using service | |||
| Rehospitalization, % | 17.3 | 19.6 | 0.69 |
| Inpatient rehabilitation or SNF admission, % | 55.1 | 70.7 | 0.03 |
| Emergency room visit, % | 9.2 | 2.2 | 0.04 |
| Physician visits, % | 53.1 | 43.5 | 0.19 |
| Outpatient rehabilitation, % | 18.4 | 22.8 | 0.45 |
| Home rehabilitation, % | 13.3 | 13.0 | 0.96 |
| Counts of service use | |||
| Rehospitalization days | 0.2±0.5 | 0.2±0.5 | 0.92 |
| Inpatient rehabilitation/SNF days | 26.9±38.6 | 36.3±37.9 | 0.09 |
| Emergency room visits | 0.1±0.4 | 0.0±0.2 | 0.11 |
| Physician visits | 1.7±3.9 | 2.0±5.1 | 0.56 |
| Outpatient rehabilitation visits | 3.5±10.3 | 6.8±25.0 | 0.23 |
| Home rehabilitation visits | 2.3±7.8 | 2.6±9.2 | 0.82 |
| Costs | |||
| Rehospitalization (including physician fees) | |||
| Mean±SD | $2012±5443 | $2750±8336 | 0.47 |
| Median (IQR) | 0.0 (0.0–0.0) | 0.0 (0.0–0.0) | |
| Outpatient care and services (including SNF) | |||
| Mean±SD | $9258±11 444 | $13 425±11 898 | 0.01 |
| Median (IQR) | $4042 (240–18 034) | $9747 (2654–22 082) | |
| Total discharge to 90-d costs | |||
| Mean±SD | $11 270±12 921 | $16 174±14 566 | 0.01 |
| Median (IQR) | $6987 (255–18 650) | $12 010 (3619–26 706) | |
ICU indicates intensive care unit; IQR, interquartile range; SNF, skilled nursing facility; SST, stent retriever thrombectomy; and tPA, tissue-type plasminogen activator.