Table 19:
Clinical Event Costs Used in the Economic Model
| Variable | Unit Cost ($, 2016) | Standard Deviation | Source |
|---|---|---|---|
| Initial Hospitalization Costs | |||
| Ischemic stroke | |||
| Fatal | 18,285 | 3,657 | Goeree et al, 200554 |
| Major | 89,013 | 17,802 | Goeree et al, 200554 |
| Moderate | 27,666 | 5,533 | Goeree et al, 200554 |
| Minor | 7,966 | 1,593 | Goeree et al, 200554 |
| Systemic embolism | 11,171 | 2,234 | Ontario Case Costing Initiative73 |
| Transient ischemic attack | 1,852 | 370 | Goeree et al, 200554 |
| Hemorrhagic stroke | |||
| Fatal | 9,333 | 1,867 | Goeree et al, 200554 |
| Major | 53,656 | 10,731 | Goeree et al, 200554 |
| Moderate | 19,778 | 3,956 | Goeree et al, 200554 |
| Minor | 7,966 | 1,593 | Goeree et al, 200554 |
| Major bleed | 6,424 | 1,284 | Comay et al, 200277 |
| Minor bleed | 77a | – | Schedule of Benefits72 |
| Myocardial infarction | |||
| Fatal | 6,667b | 7,766 | Brennan et al, 201476 |
| Nonfatal | 16,462 | 19,174 | Cohen et al, 201475 |
| Monthly Ongoing Follow-Up Costs | |||
| Ischemic stroke | |||
| Major (year 1) | 13,477 | 2,695 | Goeree et al, 200554 |
| Major (post–year 1) | 3,504 | 701 | Goeree et al, 200554 |
| Moderate (year 1) | 4,189 | 838 | Goeree et al, 200554 |
| Moderate (post–year 1) | 1,089 | 218 | Goeree et al, 200554 |
| Minor (year 1) | 1,206 | 241 | Goeree et al, 200554 |
| Minor (post–year 1) | 314 | 63 | Goeree et al, 200554 |
| Transient ischemic attack (year 1) | 1,488 | 298 | Goeree et al, 200554 |
| Hemorrhagic stroke | |||
| Major (year 1) | 14,969 | 2,994 | Goeree et al, 200554 |
| Major (post–year 1) | 3,892 | 778 | Goeree et al, 200554 |
| Moderate (year 1) | 5,518 | 1,104 | Goeree et al, 200554 |
| Moderate (post–year 1) | 1,435 | 287 | Goeree et al, 200554 |
| Minor (year 1) | 1,206 | 241 | Goeree et al, 200554 |
| Minor (post–year 1) | 314 | 63 | Goeree et al, 200554 |
| Myocardial infarction (year 1) | 516 | 350 | Cohen et al, 201475 |
| Myocardial infarction (years 2–3) | 129 | 111 | Cohen et al, 201475 |
Assume that a minor bleed results in one physician visit.
Assume that the cost of a fatal myocardial infarction is 40% that of a nonfatal myocardial infarction (derived from relative costs from five Canadian studies).76