BACKGROUND Determining the cost of hospitalization for acute stroke is important in the appropriate allocation of resources for public health facilities and in the cost effectiveness analysis of interventions. Despite being the second leading cause of mortality in the Philippines, there are no published data on the cost of stroke in the country. AIM The study aims to determine the in-hospitalization cost for stroke (IHCS) in a tertiary public hospital in the Philippines and identify the factors influencing IHCS. METHODS The study was a retrospective review of the medical and billing records of the hospital. Adult patients admitted for acute stroke between 1 June 2017 and 31 May 2018 were included in the analysis. After the mean cost of stroke was determined, multivariate logistic regression analysis was done to determine demographic and clinical characteristics that were predictive of stroke cost. RESULTS A total of 863 patient records were analyzed. The median in-hospitalization cost for stroke was PHP 17,141.50 or US$329.52. Independent determinants of higher cost include male sex (p = 0.021), stroke type (hemorrhagic stroke, p = 0.001; subarachnoid hemorrhage, p < 0.001), lower GCS on admission (p = 0.023), surgical intervention (p < 0.001), intravenous thrombolysis (p < 0.001), infection (p < 0.001), length of hospital stay (p < 0.001), and mechanical ventilation (p = 0.008). CONCLUSION The study provided current data on the in-hospitalization cost of acute stroke in a public tertiary hospital in the Philippines. Male sex, stroke type, lower GCS on admission, surgical intervention, intravenous thrombolysis, infection, length of hospital stay, and mechanical ventilation were independent predictors of cost.

中文翻译：

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中低收入国家中风住院费用：菲律宾一家公立三级医院的调查结果。

背景 确定急性卒中的住院费用对于公共卫生设施资源的合理分配和干预措施的成本效益分析非常重要。尽管是菲律宾的第二大死亡原因，但没有关于该国中风成本的公开数据。目的 本研究旨在确定菲律宾一家三级公立医院的卒中住院费用 (IHCS)，并确定影响 IHCS 的因素。方法 该研究是对医院医疗和账单记录的回顾性审查。分析包括在 2017 年 6 月 1 日至 2018 年 5 月 31 日期间因急性卒中入院的成年患者。在确定中风的平均成本后，进行多变量逻辑回归分析以确定可预测卒中费用的人口统计学和临床​​特征。结果 共分析了 863 份患者记录。中风住院费用中位数为 PHP 17,141.50 或 329.52 美元。成本较高的独立决定因素包括男性（p = 0.021）、中风类型（出血性中风，p = 0.001；蛛网膜下腔出血，p < 0.001）、入院时较低的 GCS（p = 0.023）、手术干预（p < 0.001）、静脉溶栓（p < 0.001）、感染（p < 0.001）、住院时间（p < 0.001）和机械通气（p = 0.008）。结论 本研究提供了菲律宾公立三级医院急性卒中住院费用的最新数据。男性，中风类型，入院时 GCS 较低，