title: The one-year attributable cost of poststroke aphasia.
abstract: OBJECTIVE
  Little is known about the contribution of aphasia to the cost of care for patients who experience stroke.
  
  
  METHODS
  We retrospectively examined a cohort of South Carolina Medicare beneficiaries who experienced ischemic stroke in 2004 to determine the attributable cost of aphasia. Univariate analyses were used to compare demographic, comorbidity, and severity differences between individuals with poststroke aphasia and those without aphasia. Differences in payments by Medicare because of stroke were examined using a gamma-distributed generalized linear multivariate model.
  
  
  RESULTS
  Three thousand, two hundred Medicare beneficiaries experienced ischemic stroke in South Carolina in 2004, and 398 beneficiaries had poststroke aphasia. Patients with aphasia experienced longer length of stays, greater morbidity, and greater mortality than did those without aphasia. In adjusted models that controlled for relevant covariates, the attributable 1-year cost of aphasia was estimated at $1703.
  
  
  CONCLUSIONS
  Aphasia adds to the cost of stroke-related care, above the cost of stroke alone.
authors.affiliation: Medical University of South Carolina, Department of Health Sciences & Research, Charleston, SC 29425, USA. ellisc@musc.edu
authors.forename: Charles
authors.initials: C
authors.lastname: Ellis
authors.forename: Annie N
authors.initials: AN
authors.lastname: Simpson
authors.forename: Heather
authors.initials: H
authors.lastname: Bonilha
authors.forename: Patrick D
authors.initials: PD
authors.lastname: Mauldin
authors.forename: Kit N
authors.initials: KN
authors.lastname: Simpson
mesh_terms: D001037:Aphasia / Q000191:economics* / Q000209:etiology*; D015331:Cohort Studies; D015897:Comorbidity; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006801:Humans; D006278:Medicare / Q000706:statistics & numerical data; D015999:Multivariate Analysis; D012189:Retrospective Studies; D013022:South Carolina; D020521:Stroke / Q000150:complications*; D014481:United States