BACKGROUND

This is the first study conducted to determine the predictors of outpatient based rehabilitation cost in the local setting. This aimed to determine whether demographic and clinical characteristics of post-stroke patients are predictors of direct medical costs for outpatient-based rehabilitation.

METHODS

A retrospective single-arm cohort study was utilized to determine the predictors of direct medical cost for out patient based post-stroke rehabilitation seen at the rehabilitation department of a tertiary hospital from January 1, 2019 to December 31, 2023.

RESULTS

A significant association was found between direct cost and smoking. Additionally, an association between direct cost and hypertension was evident. No significant associations were identified between direct rehabilitation cost and other factors such as age, sex, mRS score, type of stroke, intervention, and other co-morbidities, aside from hypertension and smoking.

CONCLUSION

Smoking and hypertension are predictors of direct medical cost for outpatient-based post stroke rehabilitation. These factors necessitate more intensive therapy and longer rehabilitation periods as compared to other factors which did not have significant associations with cost.

Human

BACKGROUND

There is growing interest in gender differences in acute stroke worldwide. However, no known studies have been published on the differences in prognosis of hyperacute intracerebral hemorrhage between genders among Asians, particularly Filipinos.

OBJECTIVES

Compare gender differences in the prognosis of hyperacute intracerebral hemorrhage in terms of baseline demographic and radiologic profile, as well as, clinical outcomes.

METHODS

This is a retrospective cohort study involving a chart review of all patients diagnosed with hyperacute Intracerebral Hemorrhage admitted at a tertiary hospital from January 2021 to May 2023. Patients were grouped according to their gender and baseline demographic, radiologic and clinical outcomes were assessed and compared between two groups.

RESULTS

No statistical difference was found between stroke risk factors between the two groups. However, males tend to have higher percentages of intraventricular extension (29.2 %. (n=28) vs 30.6% (n=11) and increased hematoma volume compared to their female counterparts (n=39, 83% vs n=11, 68%). In addition, males had a higher number of ICU admissions (42.7% (n= 41) vs. 33.3% (n= 12) and mortality (46.9%( n=45) vs. 30.6% (n=11), though the results were not statistically significant.

CONCLUSION

In patients with hyperacute intracerebral hemorrhage, gender does not influence on its radiologic and clinical outcome.

Human ; Stroke ; Gender Identity ; Gender Differences ; Sex Characteristics

INTRODUCTION

Brain death occurs in patients who suffer from severe brain injuries, leading to coma, loss of brainstem reflexes, and apnea. Research indicates that misdiagnosis of brain death often arises from insufficient adherence to established guidelines. This study aims to evaluate and identify any significant variations in physicians' knowledge, attitudes, and practices regarding brain death and organ donation.

METHODOLOGY

This cross-sectional study was conducted among physicians using random sampling. The questionnaire was validated prior to distribution. After obtaining informed consent, participants completed the questionnaire. Data analysis involved the use of frequency and distribution tables, as well as analysis of variance and multivariate analysis of variance.

RESULTS

A total of 113 participants were involved in the study. While years of experience and position influenced knowledge, field of specialization did not show a significant effect. Overall, attitudes remained consistent across different levels of experience and positions. The data revealed a notable lack of training and institutional resources. Although there were some differences in practices, they were not statistically significant.

CONCLUSION AND RECOMMENDATION

Significant differences in knowledge were observed based on years of practice. However, no significant differences were found in attitudes and practices, despite variations in responses. Regular seminars and workshops are crucial for staying updated with the latest guidelines. Additionally, it is important to ensure that local guidelines are readily accessible to the broader medical community.

Human ; Brain Death ; Organ Donation ; Tissue And Organ Procurement ; Knowledge ; Attitude