Insurance status is associated with treatment allocation and outcomes after subarachnoid hemorrhage.

ABSTRACT:

Objective

Subarachnoid hemorrhage (SAH) is a particularly devastating type of stroke which is responsible for one third of all stroke-related years of potential life lost before age 65. Surgical treatment has been shown to decrease both morbidity and mortality after subarachnoid hemorrhage. We hypothesized that payer status other than private insurance is associated with lower allocation to surgical treatment for patients with SAH and worse outcomes.

Design

We examined the association between insurance type and surgical treatment allocation and outcomes for patients with SAH while adjusting for a wide range of patient and hospital factors. We analyzed the Nationwide Inpatient Sample hospital discharge database using survey procedures to produce weighted estimates representat

SUBMITTER: Hobson C 

PROVIDER: S-EPMC4139299 | biostudies-literature | 2014

REPOSITORIES: biostudies-literature