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FAKTOR-FAKTOR YANG MEMENGARUHI BIAYA RAWAT INAP PASIEN STROKE YANG DILAKUKAN TROMBEKTOMI MEKANIK ATAU COILING DI RS DR. MOHAMMAD HOESIN PALEMBANG
Background: Stroke is a catastrophic disease with a significant economic burden, particularly for neurointervention procedures such as mechanical thrombectomy and coiling. A disparity exists between standard costs and actual billing charges for these procedures at Dr. Mohammad Hoesin Hospital Palembang. This study aimed to analyze the factors influencing hospitalization costs of stroke patients undergoing mechanical thrombectomy or coiling. Methods: This was an analytical cross-sectional study with retrospective data collection from medical records of stroke patients who underwent mechanical thrombectomy or coiling at Dr. Mohammad Hoesin Hospital Palembang from January 2024 to September 2025. The study included 32 patients for mechanical thrombectomy and 67 patients for coiling. Bivariate and multivariate analyses were performed to identify factors influencing hospitalization costs. Results: The mean actual hospitalization cost for mechanical thrombectomy was IDR 97,679,947 ± 80,403,149, while for coiling it was IDR 119,286,035 ± 77,330,119 (approximately 20% higher). In the mechanical thrombectomy group, multivariate analysis revealed length of stay as the only significant independent factor influencing hospitalization costs (p
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