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01.12.2012 | Research article | Ausgabe 1/2012 Open Access

BMC Health Services Research 1/2012

Economic burden of stroke in a large county in Sweden

BMC Health Services Research > Ausgabe 1/2012
Josefine Persson, José Ferraz-Nunes, Ingvar Karlberg
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1472-6963-12-341) contains supplementary material, which is available to authorized users.

Competing interests

The study was performed upon request from the county council of Västra Götaland and the authors acknowledge financial support from the county council of Västra Götaland. However, none of the authors has received reimbursement, fees, funding, or salary from any other organisation. None of the authors hold any stock or shares in an organisation that may in any way gain or lose financially from the publication of this manuscript, either now or in the future. None of the authors hold or are currently applying for any patents relating to the content of the manuscript or received reimbursements, fees, funding, or salary from an organization that holds or has applied for patents relating to the content of the manuscript. None of the authors have any other financial or non-financial competing interests.

Authors’ contributions

JP has written the manuscript and has made substantial contributions to analysis. JFN have made substantial contributions to analysis and revising the manuscript. IK have been involved in designing the study, drafting and revising the manuscript. All authors read and approved the final manuscript.



Stroke remains to be a major burden of disease, often causing death or physical impairment or disability. This paper estimates the economic burden of stroke in a large county of 1.5 million inhabitants in western Sweden.


The economic burden of stroke was estimated from a societal perspective with an incidence approach. Data were collected from clinical registries and 3,074 patients were included. In the cost calculations, both direct and indirect costs were estimated and were based on costs for 12 months after a first-ever stroke.


The total excess costs in the first 12 months after the first-ever stroke for a population of 1.5 million was 629 million SEK (€69 million). Men consumed more acute care in hospitals, whereas women consumed more rehabilitation and long-term care provided by the municipalities. Younger patients brought a significantly higher burden on society compared with older patients due to the loss of productivity and the increased use of resources in health care.


The results of this cost-of-illness study were based on an improved calculation process in a number of fields and are consistent with previous studies. In essence, 50% of costs for stroke care fall on acute care hospital, 40% on rehabilitation and long-time care and informal care and productivity loss explains 10% of total cost for the stroke disease. The result of this study can be used for further development of the methods for economic analyses as well as for analysis of improvements and investments in health care.
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