Objective: To describe the costs of hospital care for acute stroke for patients with aphasia or dysarthria. Design: Observational study from the Stroke123 project. Setting: Data from patients admitted with stroke (2009-2013) from 22 hospitals in Queensland participating in the Australian Stroke Clinical Registry (AuSCR) were linked to administrative datasets. Participants: Communication impairments were identified using International Classification of Diseases, 10th Revision, Australian Modification codes. Overall, 1043 of 4195 (25%) patients were identified with aphasia (49% were women; median age 78 years; 83% with ischemic stroke), and 1005 (24%) with dysarthria (42% were women; median age 76 years; 85% with ischemic stroke). Interventions: Not applicable. Main Outcome Measures: Linked patient-level, hospital clinical costing related to the stroke, were adjusted to 2013/2014 Australian dollars (AU$, US$ conversion x 0.691) using recommended national price indices and multivariable regression analysis with clustering by hospital performed. Results: Compared with patients without aphasia, the median hospital costs/patient were greater for those with aphasia for medical (aphasia AU$2273 vs AU$1727, P
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Brogan, E. L., Kim, J., Grimley, R. S., Wallace, S. J., Baker, C., Thayabaranathan, T., … Cadilhac, D. A. (2023). The Excess Costs of Hospitalization for Acute Stroke in People With Communication Impairment: A Stroke123 Data Linkage Substudy. Archives of Physical Medicine and Rehabilitation, 104(6), 942–949. https://doi.org/10.1016/j.apmr.2023.01.015
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