Assessing the Direct Hospital Costs of Stroke in Libreville (Gabon)

Nyangui Mapaga Jennifer; Gnigone Pupchen Marylise; Mambila Matsalou Grass Aurelle; Nsounda Annick Andrea; Camara Aissata Ibrahima; Diouf Mbourou Nelly; Neau Jean Philippe; Kouna Ndouongo Philomene

doi:doi:10.11648/j.ajpn.20221003.19

Assessing the Direct Hospital Costs of Stroke in Libreville (Gabon)

Nyangui Mapaga Jennifer, Gnigone Pupchen Marylise, Mambila Matsalou Grass Aurelle, Nsounda Annick Andrea, Camara Aissata Ibrahima, Diouf Mbourou Nelly, Neau Jean Philippe, Kouna Ndouongo Philomene

Published in American Journal of Psychiatry and Neuroscience (Volume 10, Issue 3)

Received: 21 August 2022 Accepted: 3 September 2022 Published: 16 September 2022

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Abstract

Introduction: Gabon faces a double epidemiological burden, with persistent infectious diseases and an exponential increase in noncommunicable diseases such as stroke. The growing burden related to stroke is an additional challenge for our health care system. Massive amounts of money are spent annually in industrialized countries to improve stroke management. In contrast, the costs borne by the families and the society are both poorly evaluated in Africa. The objective of this study was to assess the direct hospital cost of stroke in Libreville, Gabon. Methods: By means of an economy-based prospective multicenter study, with descriptive and analytical focus, carried out from 1ͤ ͬ March to 31^st July 2020, data from all stroke inpatients on the different consumption functions was collected using the so-called Bottom-up method. The cost to society and the patient was considered; the CFA franc was the cost unit (1 EUR = 655 CFA francs). Multiple linear regression analysis was applied to identify the factors associated with cost. Results: The study included 50 patients, sex ratio was 2.1 in favor of men. Mean age was 54.8 (± 11.1) years. The NIHSS neurological score at admission ranged from 4 to 27 with a mean of 10.5 (± 5.1). Ischemic stroke was predominant in 70% of cases. The average length of hospital stay was 14.2 (± 8.6) days, and the mode of discharge was a return home for 45 patients (90%). During hospitalization, the total direct cost expenditure varied from 266.97€ to 3,376.74€ with a mean of 933.44€ ± 611.13€ or (1,046.48±767.75USD). Factors associated with the average direct cost were the length of hospital stay (longer) and Rankin score (mRS) at discharge. Conclusion: This study highlights the heavy cost of stroke management in Libreville, but the National Health Insurance and Social Guarantee Fund (CNAMGS) is an asset since it reduces the cost of stroke by facilitating better financial management for the Gabonese population.

Published in	American Journal of Psychiatry and Neuroscience (Volume 10, Issue 3)
DOI	10.11648/j.ajpn.20221003.19
Page(s)	154-158
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Cost, Direct Cost, Stroke, Gabon

References

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[14]	Safanelli Vieira LGDR, Araujo T, Manchope LFS, Kuhlhof MHR et al. scielo - brasil - the cost of stroke in a public hospital in brazil: a one-year prospective study the cost of stroke in a public hospital in brazil: a one-year prospective study • Arq Neuropsiquiatr 2019; 77 (6): 404-411.
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Nyangui Mapaga Jennifer, Gnigone Pupchen Marylise, Mambila Matsalou Grass Aurelle, Nsounda Annick Andrea, Camara Aissata Ibrahima, et al. (2022). Assessing the Direct Hospital Costs of Stroke in Libreville (Gabon). American Journal of Psychiatry and Neuroscience, 10(3), 154-158. https://doi.org/10.11648/j.ajpn.20221003.19

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Nyangui Mapaga Jennifer; Gnigone Pupchen Marylise; Mambila Matsalou Grass Aurelle; Nsounda Annick Andrea; Camara Aissata Ibrahima, et al. Assessing the Direct Hospital Costs of Stroke in Libreville (Gabon). Am. J. Psychiatry Neurosci. 2022, 10(3), 154-158. doi: 10.11648/j.ajpn.20221003.19

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AMA Style

Nyangui Mapaga Jennifer, Gnigone Pupchen Marylise, Mambila Matsalou Grass Aurelle, Nsounda Annick Andrea, Camara Aissata Ibrahima, et al. Assessing the Direct Hospital Costs of Stroke in Libreville (Gabon). Am J Psychiatry Neurosci. 2022;10(3):154-158. doi: 10.11648/j.ajpn.20221003.19

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@article{10.11648/j.ajpn.20221003.19,
  author = {Nyangui Mapaga Jennifer and Gnigone Pupchen Marylise and Mambila Matsalou Grass Aurelle and Nsounda Annick Andrea and Camara Aissata Ibrahima and Diouf Mbourou Nelly and Neau Jean Philippe and Kouna Ndouongo Philomene},
  title = {Assessing the Direct Hospital Costs of Stroke in Libreville (Gabon)},
  journal = {American Journal of Psychiatry and Neuroscience},
  volume = {10},
  number = {3},
  pages = {154-158},
  doi = {10.11648/j.ajpn.20221003.19},
  url = {https://doi.org/10.11648/j.ajpn.20221003.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20221003.19},
  abstract = {Introduction: Gabon faces a double epidemiological burden, with persistent infectious diseases and an exponential increase in noncommunicable diseases such as stroke. The growing burden related to stroke is an additional challenge for our health care system. Massive amounts of money are spent annually in industrialized countries to improve stroke management. In contrast, the costs borne by the families and the society are both poorly evaluated in Africa. The objective of this study was to assess the direct hospital cost of stroke in Libreville, Gabon. Methods: By means of an economy-based prospective multicenter study, with descriptive and analytical focus, carried out from 1ͤ ͬ March to 31st July 2020, data from all stroke inpatients on the different consumption functions was collected using the so-called Bottom-up method. The cost to society and the patient was considered; the CFA franc was the cost unit (1 EUR = 655 CFA francs). Multiple linear regression analysis was applied to identify the factors associated with cost. Results: The study included 50 patients, sex ratio was 2.1 in favor of men. Mean age was 54.8 (± 11.1) years. The NIHSS neurological score at admission ranged from 4 to 27 with a mean of 10.5 (± 5.1). Ischemic stroke was predominant in 70% of cases. The average length of hospital stay was 14.2 (± 8.6) days, and the mode of discharge was a return home for 45 patients (90%). During hospitalization, the total direct cost expenditure varied from 266.97€ to 3,376.74€ with a mean of 933.44€ ± 611.13€ or (1,046.48±767.75USD). Factors associated with the average direct cost were the length of hospital stay (longer) and Rankin score (mRS) at discharge. Conclusion: This study highlights the heavy cost of stroke management in Libreville, but the National Health Insurance and Social Guarantee Fund (CNAMGS) is an asset since it reduces the cost of stroke by facilitating better financial management for the Gabonese population.},
 year = {2022}
}

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TY - JOUR
T1 - Assessing the Direct Hospital Costs of Stroke in Libreville (Gabon)
AU - Nyangui Mapaga Jennifer
AU - Gnigone Pupchen Marylise
AU - Mambila Matsalou Grass Aurelle
AU - Nsounda Annick Andrea
AU - Camara Aissata Ibrahima
AU - Diouf Mbourou Nelly
AU - Neau Jean Philippe
AU - Kouna Ndouongo Philomene
Y1 - 2022/09/16
PY - 2022
N1 - https://doi.org/10.11648/j.ajpn.20221003.19
DO - 10.11648/j.ajpn.20221003.19
T2 - American Journal of Psychiatry and Neuroscience
JF - American Journal of Psychiatry and Neuroscience
JO - American Journal of Psychiatry and Neuroscience
SP - 154
EP - 158
PB - Science Publishing Group
SN - 2330-426X
UR - https://doi.org/10.11648/j.ajpn.20221003.19
AB - Introduction: Gabon faces a double epidemiological burden, with persistent infectious diseases and an exponential increase in noncommunicable diseases such as stroke. The growing burden related to stroke is an additional challenge for our health care system. Massive amounts of money are spent annually in industrialized countries to improve stroke management. In contrast, the costs borne by the families and the society are both poorly evaluated in Africa. The objective of this study was to assess the direct hospital cost of stroke in Libreville, Gabon. Methods: By means of an economy-based prospective multicenter study, with descriptive and analytical focus, carried out from 1ͤ ͬ March to 31st July 2020, data from all stroke inpatients on the different consumption functions was collected using the so-called Bottom-up method. The cost to society and the patient was considered; the CFA franc was the cost unit (1 EUR = 655 CFA francs). Multiple linear regression analysis was applied to identify the factors associated with cost. Results: The study included 50 patients, sex ratio was 2.1 in favor of men. Mean age was 54.8 (± 11.1) years. The NIHSS neurological score at admission ranged from 4 to 27 with a mean of 10.5 (± 5.1). Ischemic stroke was predominant in 70% of cases. The average length of hospital stay was 14.2 (± 8.6) days, and the mode of discharge was a return home for 45 patients (90%). During hospitalization, the total direct cost expenditure varied from 266.97€ to 3,376.74€ with a mean of 933.44€ ± 611.13€ or (1,046.48±767.75USD). Factors associated with the average direct cost were the length of hospital stay (longer) and Rankin score (mRS) at discharge. Conclusion: This study highlights the heavy cost of stroke management in Libreville, but the National Health Insurance and Social Guarantee Fund (CNAMGS) is an asset since it reduces the cost of stroke by facilitating better financial management for the Gabonese population.
VL - 10
IS - 3
ER -

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Author Information

Nyangui Mapaga Jennifer

Neurology Department, University Hospital of Libreville, Libreville, Gabon
Gnigone Pupchen Marylise

Neurology Department, University Hospital of Libreville, Libreville, Gabon
Mambila Matsalou Grass Aurelle

Neurology Department, University Hospital of Libreville, Libreville, Gabon
Nsounda Annick Andrea

Neurology Department, University Hospital of Libreville, Libreville, Gabon
Camara Aissata Ibrahima

Neurology Department, University Hospital of Libreville, Libreville, Gabon
Diouf Mbourou Nelly

Neurology Department, University Hospital of Libreville, Libreville, Gabon
Neau Jean Philippe

Neurology Department, University Hospital of Poitiers, Poitiers, France
Kouna Ndouongo Philomene

Neurology Department, University Hospital of Libreville, Libreville, Gabon

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APA Style

Nyangui Mapaga Jennifer, Gnigone Pupchen Marylise, Mambila Matsalou Grass Aurelle, Nsounda Annick Andrea, Camara Aissata Ibrahima, et al. (2022). Assessing the Direct Hospital Costs of Stroke in Libreville (Gabon). American Journal of Psychiatry and Neuroscience, 10(3), 154-158. https://doi.org/10.11648/j.ajpn.20221003.19

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Nyangui Mapaga Jennifer; Gnigone Pupchen Marylise; Mambila Matsalou Grass Aurelle; Nsounda Annick Andrea; Camara Aissata Ibrahima, et al. Assessing the Direct Hospital Costs of Stroke in Libreville (Gabon). Am. J. Psychiatry Neurosci. 2022, 10(3), 154-158. doi: 10.11648/j.ajpn.20221003.19

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Nyangui Mapaga Jennifer, Gnigone Pupchen Marylise, Mambila Matsalou Grass Aurelle, Nsounda Annick Andrea, Camara Aissata Ibrahima, et al. Assessing the Direct Hospital Costs of Stroke in Libreville (Gabon). Am J Psychiatry Neurosci. 2022;10(3):154-158. doi: 10.11648/j.ajpn.20221003.19

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@article{10.11648/j.ajpn.20221003.19,
  author = {Nyangui Mapaga Jennifer and Gnigone Pupchen Marylise and Mambila Matsalou Grass Aurelle and Nsounda Annick Andrea and Camara Aissata Ibrahima and Diouf Mbourou Nelly and Neau Jean Philippe and Kouna Ndouongo Philomene},
  title = {Assessing the Direct Hospital Costs of Stroke in Libreville (Gabon)},
  journal = {American Journal of Psychiatry and Neuroscience},
  volume = {10},
  number = {3},
  pages = {154-158},
  doi = {10.11648/j.ajpn.20221003.19},
  url = {https://doi.org/10.11648/j.ajpn.20221003.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20221003.19},
  abstract = {Introduction: Gabon faces a double epidemiological burden, with persistent infectious diseases and an exponential increase in noncommunicable diseases such as stroke. The growing burden related to stroke is an additional challenge for our health care system. Massive amounts of money are spent annually in industrialized countries to improve stroke management. In contrast, the costs borne by the families and the society are both poorly evaluated in Africa. The objective of this study was to assess the direct hospital cost of stroke in Libreville, Gabon. Methods: By means of an economy-based prospective multicenter study, with descriptive and analytical focus, carried out from 1ͤ ͬ March to 31st July 2020, data from all stroke inpatients on the different consumption functions was collected using the so-called Bottom-up method. The cost to society and the patient was considered; the CFA franc was the cost unit (1 EUR = 655 CFA francs). Multiple linear regression analysis was applied to identify the factors associated with cost. Results: The study included 50 patients, sex ratio was 2.1 in favor of men. Mean age was 54.8 (± 11.1) years. The NIHSS neurological score at admission ranged from 4 to 27 with a mean of 10.5 (± 5.1). Ischemic stroke was predominant in 70% of cases. The average length of hospital stay was 14.2 (± 8.6) days, and the mode of discharge was a return home for 45 patients (90%). During hospitalization, the total direct cost expenditure varied from 266.97€ to 3,376.74€ with a mean of 933.44€ ± 611.13€ or (1,046.48±767.75USD). Factors associated with the average direct cost were the length of hospital stay (longer) and Rankin score (mRS) at discharge. Conclusion: This study highlights the heavy cost of stroke management in Libreville, but the National Health Insurance and Social Guarantee Fund (CNAMGS) is an asset since it reduces the cost of stroke by facilitating better financial management for the Gabonese population.},
 year = {2022}
}

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