17 results on '"Fragkoulaki A"'
Search Results
2. Stroke Units Necessity for Patients, Web-Based 'SUN4P' Registry: Descriptive Characteristics of the Population.
- Author
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Georgios Mavraganis, Eleni Korompoki, Evangelos Tsampalas, Dafni Garefou, Helen Alexopoulou, Maria Lypiridou, Ioannis Kalliontzakis, Anastasia Fragkoulaki, Aspasia Kouridaki, Argyro Tountopoulou, Ioanna Kouzi, Sofia Vassilopoulou, Efstathia Karagkiozi, Anna-Maria Louka, Efstathios Manios, Anastasia Vemmou, Christos Savopoulos, Gregorios Dimas, Athina Myrou, Haralampos J. Milionis, Georgios Siopis, Hara Evaggelou, Athanasios Protogerou, Stamatina Samara, Asteria Karapiperi, Nikolaos Kakaletsis, Iliana Karagkouni, Olympia Konstantakopoulou, Petros Galanis, Daphne Kaitelidou, Stefanos Papastefanatos, Kostas Vemmos, George Ntaios, and Olga Siskou
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- 2021
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- View/download PDF
3. The Cost and the Value of Stroke Care in Greece: Results from the SUN4P Study
- Author
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Olga Siskou, Petros Galanis, Olympia Konstantakopoulou, Panagiotis Stafylas, Iliana Karagkouni, Evangelos Tsampalas, Dafni Garefou, Helen Alexopoulou, Anastasia Gamvroula, Maria Lypiridou, Ioannis Kalliontzakis, Anastasia Fragkoulaki, Aspasia Kouridaki, Argyro Tountopoulou, Ioanna Kouzi, Sofia Vassilopoulou, Efstathios Manios, Georgios Mavraganis, Anastasia Vemmou, Efstathia Karagkiozi, Christos Savopoulos, Gregorios Dimas, Athina Myrou, Haralampos Milionis, Georgios Siopis, Hara Evaggelou, Athanasios Protogerou, Stamatina Samara, Asteria Karapiperi, Nikolaos Kakaletsis, George Papastefanatos, Stefanos Papastefanatos, Panayota Sourtzi, George Ntaios, Konstantinos Vemmos, Eleni Korompoki, and Daphne Kaitelidou
- Subjects
stroke ,cost ,burden ,direct healthcare cost ,loss of productivity ,QALY ,Medicine - Abstract
The aim of this study was to measure the one-year total cost of strokes and to investigate the value of stroke care, defined as cost per QALY. The study population included 892 patients with first-ever acute strokes, hemorrhagic strokes, and ischemic strokes, (ICD-10 codes: I61, I63, and I64) admitted within 48 h of symptoms onset to nine public hospitals located in six cities. We conducted a bottom-up cost analysis from the societal point of view. All cost components including direct medical costs, productivity losses due to morbidity and mortality, and informal care costs were considered. We used an annual time horizon, including all costs for 2021, irrespective of the time of disease onset. The average cost (direct and indirect) was extrapolated in order to estimate the national annual burden associated with stroke. We estimated the total cost of stroke in Greece at EUR 343.1 mil. a year in 2021, (EUR 10,722/patient or EUR 23,308 per QALY). Out of EUR 343.1 mil., 53.3% (EUR 182.9 mil.) consisted of direct healthcare costs, representing 1.1% of current health expenditure in 2021. Overall, productivity losses were calculated at EUR 160.2 mil. The mean productivity losses were estimated to be 116 work days with 55.1 days lost due to premature retirement and absenteeism from work, 18.5 days lost due to mortality, and 42.4 days lost due to informal caregiving by family members. This study highlights the burden of stroke and underlines the need for stakeholders and policymakers to re-organize stroke care and promote interventions that have been proven cost-effective.
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- 2023
- Full Text
- View/download PDF
4. Inpatient Cost of Stroke Care in Greece: Preliminary Results of the Web-Based “SUN4P” Registry
- Author
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Siskou, Olga, primary, Galanis, Petros, additional, Konstantakopoulou, Olympia, additional, Karagkouni, Iliana, additional, Tsampalas, Evangelos, additional, Garefou, Dafni, additional, Alexopoulou, Helen, additional, Gamvroula, Anastasia, additional, Kalliontzakis, Ioannis, additional, Fragkoulaki, Anastasia, additional, Kouridaki, Aspasia, additional, Tountopoulou, Argyro, additional, Kouzi, Ioanna, additional, Vassilopoulou, Sofia, additional, Manios, Efstathios, additional, Mavraganis, Georgios, additional, Ntaios, George, additional, Karagkiozi, Efstathia, additional, Louka, Anna Maria, additional, Savopoulos, Christos, additional, Dimas, Gregorios, additional, Myrou, Athina, additional, Milionis, Haralampos, additional, Siopis, Georgios, additional, Evaggelou, Hara, additional, Protogerou, Athanasios, additional, Samara, Stamatina, additional, Karapiperi, Asteria, additional, Kakaletsis, Nikolaos, additional, Gallos, Paris, additional, Papastefanatos, Stefanos, additional, Sourtzi, Panayota, additional, Vemmos, Kostas, additional, Korompoki, Eleni, additional, and Kaitelidou, Daphne, additional
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- 2022
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5. Stroke Units Necessity for Patients, Web-Based “SUN4P” Registry: Descriptive Characteristics of the Population
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Mavraganis, Georgios, primary, Korompoki, Eleni, additional, Tsampalas, Evangelos, additional, Garefou, Dafni, additional, Alexopoulou, Helen, additional, Lypiridou, Maria, additional, Kalliontzakis, Ioannis, additional, Fragkoulaki, Anastasia, additional, Kouridaki, Aspasia, additional, Tountopoulou, Argyro, additional, Kouzi, Ioanna, additional, Vassilopoulou, Sofia, additional, Karagkiozi, Efstathia, additional, Louka, Anna-Maria, additional, Manios, Efstathios, additional, Vemmou, Anastasia, additional, Savopoulos, Christos, additional, Dimas, Gregorios, additional, Myrou, Athina, additional, Milionis, Haralampos, additional, Siopis, Georgios, additional, Evaggelou, Hara, additional, Protogerou, Athanasios, additional, Samara, Stamatina, additional, Karapiperi, Asteria, additional, Kakaletsis, Nikolaos, additional, Karagkouni, Iliana, additional, Konstantakopoulou, Olympia, additional, Galanis, Petros, additional, Kaitelidou, Daphne, additional, Papastefanatos, Stefanos, additional, Vemmos, Kostas, additional, Ntaios, George, additional, and Siskou, Olga, additional
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- 2022
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6. The Cost and the Value of Stroke Care in Greece: Results from the SUN4P Study
- Author
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Siskou, Olga, primary, Galanis, Petros, additional, Konstantakopoulou, Olympia, additional, Stafylas, Panagiotis, additional, Karagkouni, Iliana, additional, Tsampalas, Evangelos, additional, Garefou, Dafni, additional, Alexopoulou, Helen, additional, Gamvroula, Anastasia, additional, Lypiridou, Maria, additional, Kalliontzakis, Ioannis, additional, Fragkoulaki, Anastasia, additional, Kouridaki, Aspasia, additional, Tountopoulou, Argyro, additional, Kouzi, Ioanna, additional, Vassilopoulou, Sofia, additional, Manios, Efstathios, additional, Mavraganis, Georgios, additional, Vemmou, Anastasia, additional, Karagkiozi, Efstathia, additional, Savopoulos, Christos, additional, Dimas, Gregorios, additional, Myrou, Athina, additional, Milionis, Haralampos, additional, Siopis, Georgios, additional, Evaggelou, Hara, additional, Protogerou, Athanasios, additional, Samara, Stamatina, additional, Karapiperi, Asteria, additional, Kakaletsis, Nikolaos, additional, Papastefanatos, George, additional, Papastefanatos, Stefanos, additional, Sourtzi, Panayota, additional, Ntaios, George, additional, Vemmos, Konstantinos, additional, Korompoki, Eleni, additional, and Kaitelidou, Daphne, additional
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- 2023
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7. Τhe Cost and the Value of Stroke Care in Greece: Results from the SUN4P Study
- Author
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Siskou, Olga Ch., primary, Galanis, Petros, additional, Konstantakopoulou, Olympia, additional, Stafylas, Panagiotis, additional, Karagouni, Iliana, additional, Tsampalas, Evangelos, additional, Garefou, Daphne, additional, Alexopoulou, Helen, additional, Gamvroula, Anasstasia, additional, Lypiridou, Maria, additional, Kalliotzakis, Ioannis, additional, Fragkoulaki, Anastasia, additional, Kouridaki, Aspasia, additional, Tountopoulou, Argyro, additional, Kouzi, Ioanna, additional, Vassilopoulou, Sofia, additional, Manios, Efstathios, additional, Mavraganis, Georgios, additional, Vemmou, Anastasia, additional, Karagkiozi, Efstathia, additional, Savopoulos, Christos, additional, Dimas, Grigorios George, additional, Myrou, Athina, additional, Milionis, Haralampos, additional, Siopis, Georgios, additional, Evaggelou, Xara, additional, Protogerou, Athanase D., additional, Samara, Stamatia, additional, Karapiperi, Asteria, additional, Kakaletsis, Nikolaos, additional, Papastefanatos, George, additional, Papastefanatos, Stefanos, additional, Sourtzi, Panayota, additional, Ntaios, George, additional, Vemmos, Konstantinos, additional, Korompoki, Eleni, additional, and Kaitelidou, Daphne, additional
- Published
- 2023
- Full Text
- View/download PDF
8. Inpatient Cost of Stroke Care in Greece: Preliminary Results of the Web-Based 'SUN4P' Registry
- Author
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Olga, Siskou, Petros, Galanis, Olympia, Konstantakopoulou, Iliana, Karagkouni, Evangelos, Tsampalas, Dafni, Garefou, Helen, Alexopoulou, Anastasia, Gamvroula, Ioannis, Kalliontzakis, Anastasia, Fragkoulaki, Aspasia, Kouridaki, Argyro, Tountopoulou, Ioanna, Kouzi, Sofia, Vassilopoulou, Efstathios, Manios, Georgios, Mavraganis, George, Ntaios, Efstathia, Karagkiozi, Anna Maria, Louka, Christos, Savopoulos, Gregorios, Dimas, Athina, Myrou, Haralampos, Milionis, Georgios, Siopis, Hara, Evaggelou, Athanasios, Protogerou, Stamatina, Samara, Asteria, Karapiperi, Nikolaos, Kakaletsis, Paris, Gallos, Stefanos, Papastefanatos, Panayota, Sourtzi, Kostas, Vemmos, Eleni, Korompoki, and Daphne, Kaitelidou
- Subjects
Aged, 80 and over ,Hospitalization ,Stroke ,Inpatients ,Internet ,Greece ,Humans ,Registries ,Length of Stay ,Middle Aged ,Laboratories, Clinical ,Aged - Abstract
The aim of this study was to calculate the average operational cost per sub-type of stroke patient and to investigate cost drivers (e.g. ALoS, NIHSS score, age) correlated to cost.Direct medical costs (diagnostic imaging and clinical laboratory exams, overheads/bed cost, pharmaceuticals, ringers and other non-durables and inpatient rehabilitation) per patient were calculated from the providers' (hospitals') perspective. Resource use data derived from the "SUN4P" web-based registry and unit costs were retrieved from publically available sources and were assigned to resource use.The sample comprised 6,282 inpatient days of 750 patients (mean age: 75.5±13.3 years) admitted from July 2019 to July 2021, in nine public hospitals. Mean length of stay was 8.4±7.6 days and mean total operational cost was calculated to €1,239.4 (from which 45% and 35% related to diagnostic exams and overheads/bed cost respectively). Mean cost related to hemorrhagic stroke patients that were discharged alive was calculated significantly higher compared to mean cost related to ischemic stroke patients who didn't undertake thrombolysis and were also discharged alive from the hospital (€2,155.2 vs. €945.2, p0.001). Linear regression analysis revealed that length of stay was significantly correlated with cost (coefficient beta=232, 95% CI confidence interval = 220-243, p0.001).These findings are in accordance with current evidence and should be thoroughly assessed to rationalize inpatient reimbursement rates in order to achieve improved value of care.
- Published
- 2022
9. Stroke Units Necessity for Patients, Web-Based 'SUN4P' Registry: Descriptive Characteristics of the Population
- Author
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Georgios, Mavraganis, Eleni, Korompoki, Evangelos, Tsampalas, Dafni, Garefou, Helen, Alexopoulou, Maria, Lypiridou, Ioannis, Kalliontzakis, Anastasia, Fragkoulaki, Aspasia, Kouridaki, Argyro, Tountopoulou, Ioanna, Kouzi, Sofia, Vassilopoulou, Efstathia, Karagkiozi, Anna-Maria, Louka, Efstathios, Manios, Anastasia, Vemmou, Christos, Savopoulos, Gregorios, Dimas, Athina, Myrou, Haralampos, Milionis, Georgios, Siopis, Hara, Evaggelou, Athanasios, Protogerou, Stamatina, Samara, Asteria, Karapiperi, Nikolaos, Kakaletsis, Iliana, Karagkouni, Olympia, Konstantakopoulou, Petros, Galanis, Daphne, Kaitelidou, Stefanos, Papastefanatos, Kostas, Vemmos, George, Ntaios, and Olga, Siskou
- Subjects
Stroke ,Internet ,Risk Factors ,Humans ,Registries ,Brain Ischemia - Abstract
The aim of this study was to present the descriptive characteristics of the Stroke Units Necessity for Patients (SUN4P) registry.The study population derived from the web-based SUN4P registry included 823 patients with first-ever acute stroke. Descriptive statistics were used to present patients' characteristics.The vast majority of patients (80.4%) had an ischemic stroke, whereas 15.4% had a hemorrhagic stroke. Hypertension was the leading risk factor in both patients. The patients with ischemic stroke had higher prevalence of traditional cardiovascular risk factors such as diabetes mellitus, dyslipidemia and smoking and most commonly cryptogenic stroke (39%). National Institutes of Health Stroke Scale (NIHSS) was higher among patients with hemorrhagic in comparison to those with ischemic stroke (10.5 vs 6 respectively). Moreover, all patients had similar rate of disability prior to stroke, as shown by Modified Rankin Scale (mRS=0).These data are in accordance with current evidence and should be thoroughly assessed in order to ensure optimal therapeutic management of stroke patients.
- Published
- 2022
10. Stroke Units Necessity for Patients, Web-Based 'SUN4P' Registry: Descriptive Characteristics of the Population
- Author
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Georgios Mavraganis, Eleni Korompoki, Evangelos Tsampalas, Dafni Garefou, Helen Alexopoulou, Maria Lypiridou, Ioannis Kalliontzakis, Anastasia Fragkoulaki, Aspasia Kouridaki, Argyro Tountopoulou, Ioanna Kouzi, Sofia Vassilopoulou, Efstathia Karagkiozi, Anna-Maria Louka, Efstathios Manios, Anastasia Vemmou, Christos Savopoulos, Gregorios Dimas, Athina Myrou, Haralampos Milionis, Georgios Siopis, Hara Evaggelou, Athanasios Protogerou, Stamatina Samara, Asteria Karapiperi, Nikolaos Kakaletsis, Iliana Karagkouni, Olympia Konstantakopoulou, Petros Galanis, Daphne Kaitelidou, Stefanos Papastefanatos, Kostas Vemmos, George Ntaios, and Olga Siskou
- Subjects
cardiovascular diseases - Abstract
The aim of this study was to present the descriptive characteristics of the Stroke Units Necessity for Patients (SUN4P) registry. Methods: The study population derived from the web-based SUN4P registry included 823 patients with first-ever acute stroke. Descriptive statistics were used to present patients’ characteristics. Results: The vast majority of patients (80.4%) had an ischemic stroke, whereas 15.4% had a hemorrhagic stroke. Hypertension was the leading risk factor in both patients. The patients with ischemic stroke had higher prevalence of traditional cardiovascular risk factors such as diabetes mellitus, dyslipidemia and smoking and most commonly cryptogenic stroke (39%). National Institutes of Health Stroke Scale (NIHSS) was higher among patients with hemorrhagic in comparison to those with ischemic stroke (10.5 vs 6 respectively). Moreover, all patients had similar rate of disability prior to stroke, as shown by Modified Rankin Scale (mRS=0). Conclusions: These data are in accordance with current evidence and should be thoroughly assessed in order to ensure optimal therapeutic management of stroke patients.
- Published
- 2022
11. Inpatient Cost of Stroke Care in Greece: Preliminary Results of the Web-Based 'SUN4P' Registry
- Author
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Olga Siskou, Petros Galanis, Olympia Konstantakopoulou, Iliana Karagkouni, Evangelos Tsampalas, Dafni Garefou, Helen Alexopoulou, Anastasia Gamvroula, Ioannis Kalliontzakis, Anastasia Fragkoulaki, Aspasia Kouridaki, Argyro Tountopoulou, Ioanna Kouzi, Sofia Vassilopoulou, Efstathios Manios, Georgios Mavraganis, George Ntaios, Efstathia Karagkiozi, Anna Maria Louka, Christos Savopoulos, Gregorios Dimas, Athina Myrou, Haralampos Milionis, Georgios Siopis, Hara Evaggelou, Athanasios Protogerou, Stamatina Samara, Asteria Karapiperi, Nikolaos Kakaletsis, Paris Gallos, Stefanos Papastefanatos, Panayota Sourtzi, Kostas Vemmos, Eleni Korompoki, and Daphne Kaitelidou
- Subjects
health care economics and organizations - Abstract
The aim of this study was to calculate the average operational cost per sub-type of stroke patient and to investigate cost drivers (e.g. ALoS, NIHSS score, age) correlated to cost. Methods: Direct medical costs (diagnostic imaging and clinical laboratory exams, overheads/bed cost, pharmaceuticals, ringers and other non-durables and inpatient rehabilitation) per patient were calculated from the providers’ (hospitals’) perspective. Resource use data derived from the “SUN4P” web-based registry and unit costs were retrieved from publically available sources and were assigned to resource use. Results: The sample comprised 6,282 inpatient days of 750 patients (mean age: 75.5±13.3 years) admitted from July 2019 to July 2021, in nine public hospitals. Mean length of stay was 8.4±7.6 days and mean total operational cost was calculated to €1,239.4 (from which 45% and 35% related to diagnostic exams and overheads/bed cost respectively). Mean cost related to hemorrhagic stroke patients that were discharged alive was calculated significantly higher compared to mean cost related to ischemic stroke patients who didn’t undertake thrombolysis and were also discharged alive from the hospital (€2,155.2 vs. €945.2, p
- Published
- 2022
12. Stroke Units Necessity for Patients, Web- Based SUN4P Registry: Descriptive Characteristics of the Population
- Author
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Mavraganis, G. Korompoki, E. Tsampalas, E. Garefou, D. Alexopoulou, H. Lypiridou, M. Kalliontzakis, I. Fragkoulaki, A. Kouridaki, A. Tountopoulou, A. Kouzi, I. Vassilopoulou, S. Karagkiozi, E. Louka, A.-M. Manios, E. Vemmou, A. Savopoulos, C. Dimas, G. Myrou, A. Milionis, H. Siopis, G. Evaggelou, H. Protogerou, A. Samara, S. Karapiperi, A. Kakaletsis, N. Karagkouni, I. Konstantakopoulou, O. Galanis, P. Kaitelidou, D. Papastefanatos, S. Vemmos, K. Ntaios, G. Siskou, O.
- Subjects
cardiovascular diseases - Abstract
The aim of this study was to present the descriptive characteristics of the Stroke Units Necessity for Patients (SUN4P) registry. Methods: The study population derived from the web-based SUN4P registry included 823 patients with first-ever acute stroke. Descriptive statistics were used to present patients' characteristics. Results: The vast majority of patients (80.4%) had an ischemic stroke, whereas 15.4% had a hemorrhagic stroke. Hypertension was the leading risk factor in both patients. The patients with ischemic stroke had higher prevalence of traditional cardiovascular risk factors such as diabetes mellitus, dyslipidemia and smoking and most commonly cryptogenic stroke (39%). National Institutes of Health Stroke Scale (NIHSS) was higher among patients with hemorrhagic in comparison to those with ischemic stroke (10.5 vs 6 respectively). Moreover, all patients had similar rate of disability prior to stroke, as shown by Modified Rankin Scale (mRS=0). Conclusions: These data are in accordance with current evidence and should be thoroughly assessed in order to ensure optimal therapeutic management of stroke patients. © 2022 The authors and IOS Press.
- Published
- 2022
13. Inpatient Cost of Stroke Care in Greece: Preliminary Results of the Web-Based SUN4P Registry
- Author
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Siskou, O. Galanis, P. Konstantakopoulou, O. Karagkouni, I. Tsampalas, E. Garefou, D. Alexopoulou, H. Gamvroula, A. Kalliontzakis, I. Fragkoulaki, A. Kouridaki, A. Tountopoulou, A. Kouzi, I. Vassilopoulou, S. Manios, E. Mavraganis, G. Ntaios, G. Karagkiozi, E. Louka, A.M. Savopoulos, C. Dimas, G. Myrou, A. Milionis, H. Siopis, G. Evaggelou, H. Protogerou, A. Samara, S. Karapiperi, A. Kakaletsis, N. Gallos, P. Papastefanatos, S. Sourtzi, P. Vemmos, K. Korompoki, E. Kaitelidou, D.
- Subjects
health care economics and organizations - Abstract
The aim of this study was to calculate the average operational cost per sub-type of stroke patient and to investigate cost drivers (e.g. ALoS, NIHSS score, age) correlated to cost. Methods: Direct medical costs (diagnostic imaging and clinical laboratory exams, overheads/bed cost, pharmaceuticals, ringers and other non-durables and inpatient rehabilitation) per patient were calculated from the providers' (hospitals') perspective. Resource use data derived from the 'SUN4P' web-based registry and unit costs were retrieved from publically available sources and were assigned to resource use. Results: The sample comprised 6,282 inpatient days of 750 patients (mean age: 75.5±13.3 years) admitted from July 2019 to July 2021, in nine public hospitals. Mean length of stay was 8.4±7.6 days and mean total operational cost was calculated to €1,239.4 (from which 45% and 35% related to diagnostic exams and overheads/bed cost respectively). Mean cost related to hemorrhagic stroke patients that were discharged alive was calculated significantly higher compared to mean cost related to ischemic stroke patients who didn't undertake thrombolysis and were also discharged alive from the hospital (€2,155.2 vs. €945.2, p
- Published
- 2022
14. Monitoring Students’ Perceptions in an App Inventor School Course
- Author
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Panselinas, Giorgos, primary, Fragkoulaki, Efi, additional, Angelidakis, Nikolaos, additional, Papadakis, Stavros, additional, Tzagkarakis, Eleytherios, additional, and Manassakis, Vassileios, additional
- Published
- 2018
- Full Text
- View/download PDF
15. Monitoring Students’ Perceptions in an App Inventor School Course
- Author
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Vassileios Manassakis, Efi Fragkoulaki, Nikolaos Angelidakis, Stavros A. Papadakis, Giorgos Panselinas, and Eleytherios Tzagkarakis
- Subjects
Computational thinking ,media_common.quotation_subject ,Positive perception ,Task value ,Popularity ,GeneralLiterature_MISCELLANEOUS ,MicroWorlds ,Perception ,ComputingMilieux_COMPUTERSANDEDUCATION ,Mathematics education ,Psychology ,computer ,Competence (human resources) ,Lesson plan ,computer.programming_language ,media_common - Abstract
MIT App Inventor is a block-based programming environment for children and teenagers that sets a “low floor” for allowing creative app building while engaging students in complex computational thinking activities. The present study aims at (a) monitoring students’ perceptions on ‘popularity’ and ‘perceived difficulty’ of certain activities/lessons through the implementation of an App Inventor course in a Greek lower high school, (b) detecting any course design or activity/lesson plan and implementation factors that affected students’ perceptions and finally (c) evaluating their experience with App Inventor in contrast with their previous experience with MicroWorlds Pro and Scratch. Our study confirms students’ positive perceptions such as positive task value beliefs and self-efficacy, identifies features of successful “resources learning” in competence-based learning and finally offers a students’ comparison between App Inventor, MicroWorlds Pro and Scratch.
- Published
- 2018
16. Stroke Units Necessity for Patients, Web-Based "SUN4P" Registry: Descriptive Characteristics of the Population.
- Author
-
Mavraganis G, Korompoki E, Tsampalas E, Garefou D, Alexopoulou H, Lypiridou M, Kalliontzakis I, Fragkoulaki A, Kouridaki A, Tountopoulou A, Kouzi I, Vassilopoulou S, Karagkiozi E, Louka AM, Manios E, Vemmou A, Savopoulos C, Dimas G, Myrou A, Milionis H, Siopis G, Evaggelou H, Protogerou A, Samara S, Karapiperi A, Kakaletsis N, Karagkouni I, Konstantakopoulou O, Galanis P, Kaitelidou D, Papastefanatos S, Vemmos K, Ntaios G, and Siskou O
- Subjects
- Humans, Internet, Registries, Risk Factors, Brain Ischemia, Stroke epidemiology
- Abstract
The aim of this study was to present the descriptive characteristics of the Stroke Units Necessity for Patients (SUN4P) registry., Methods: The study population derived from the web-based SUN4P registry included 823 patients with first-ever acute stroke. Descriptive statistics were used to present patients' characteristics., Results: The vast majority of patients (80.4%) had an ischemic stroke, whereas 15.4% had a hemorrhagic stroke. Hypertension was the leading risk factor in both patients. The patients with ischemic stroke had higher prevalence of traditional cardiovascular risk factors such as diabetes mellitus, dyslipidemia and smoking and most commonly cryptogenic stroke (39%). National Institutes of Health Stroke Scale (NIHSS) was higher among patients with hemorrhagic in comparison to those with ischemic stroke (10.5 vs 6 respectively). Moreover, all patients had similar rate of disability prior to stroke, as shown by Modified Rankin Scale (mRS=0)., Conclusions: These data are in accordance with current evidence and should be thoroughly assessed in order to ensure optimal therapeutic management of stroke patients.
- Published
- 2022
- Full Text
- View/download PDF
17. Inpatient Cost of Stroke Care in Greece: Preliminary Results of the Web-Based "SUN4P" Registry.
- Author
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Siskou O, Galanis P, Konstantakopoulou O, Karagkouni I, Tsampalas E, Garefou D, Alexopoulou H, Gamvroula A, Kalliontzakis I, Fragkoulaki A, Kouridaki A, Tountopoulou A, Kouzi I, Vassilopoulou S, Manios E, Mavraganis G, Ntaios G, Karagkiozi E, Louka AM, Savopoulos C, Dimas G, Myrou A, Milionis H, Siopis G, Evaggelou H, Protogerou A, Samara S, Karapiperi A, Kakaletsis N, Gallos P, Papastefanatos S, Sourtzi P, Vemmos K, Korompoki E, and Kaitelidou D
- Subjects
- Aged, Aged, 80 and over, Greece, Hospitalization, Humans, Internet, Laboratories, Clinical, Length of Stay, Middle Aged, Registries, Inpatients, Stroke therapy
- Abstract
The aim of this study was to calculate the average operational cost per sub-type of stroke patient and to investigate cost drivers (e.g. ALoS, NIHSS score, age) correlated to cost., Methods: Direct medical costs (diagnostic imaging and clinical laboratory exams, overheads/bed cost, pharmaceuticals, ringers and other non-durables and inpatient rehabilitation) per patient were calculated from the providers' (hospitals') perspective. Resource use data derived from the "SUN4P" web-based registry and unit costs were retrieved from publically available sources and were assigned to resource use., Results: The sample comprised 6,282 inpatient days of 750 patients (mean age: 75.5±13.3 years) admitted from July 2019 to July 2021, in nine public hospitals. Mean length of stay was 8.4±7.6 days and mean total operational cost was calculated to €1,239.4 (from which 45% and 35% related to diagnostic exams and overheads/bed cost respectively). Mean cost related to hemorrhagic stroke patients that were discharged alive was calculated significantly higher compared to mean cost related to ischemic stroke patients who didn't undertake thrombolysis and were also discharged alive from the hospital (€2,155.2 vs. €945.2, p<0.001). Linear regression analysis revealed that length of stay was significantly correlated with cost (coefficient beta=232, 95% CI confidence interval = 220-243, p<0.001)., Conclusions: These findings are in accordance with current evidence and should be thoroughly assessed to rationalize inpatient reimbursement rates in order to achieve improved value of care.
- Published
- 2022
- Full Text
- View/download PDF
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