Traumatic brain injury cost-effectiveness of therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Joanna Ekabua, M.D. [2]

Overview

Management of traumatic brain injury patients in hospital is expensive.

Cost-effectiveness of therapy

  • Management of traumatic brain injury patients in hospital is expensive. It has been estimated that the total global annual burden of traumatic brain injury US$ 400 billion. The in-hospital cost ranged from $$2,130 - $401,808, which was determined by the patient's length of stay and surgical procedure underwent. The cost was also directly proportional to the severity of traumatic brain injury.[1]
  • Aggressive care is notably better across all age groups and is recommended for the management of traumatic brain injury patients. Cost of aggressive management is less than routine management until age 80 where it is more costly than routine management. Comfort care has been associated with poor outcomes in all age groups and costs more for all groups except 80-year-olds.[2]

References

  1. van Dijck JTJM, Dijkman MD, Ophuis RH, de Ruiter GCW, Peul WC, Polinder S (2019). "In-hospital costs after severe traumatic brain injury: A systematic review and quality assessment". PLoS One. 14 (5): e0216743. doi:10.1371/journal.pone.0216743. PMC 6508680 Check |pmc= value (help). PMID 31071199.
  2. Whitmore RG, Thawani JP, Grady MS, Levine JM, Sanborn MR, Stein SC (2012). "Is aggressive treatment of traumatic brain injury cost-effective?". J Neurosurg. 116 (5): 1106–13. doi:10.3171/2012.1.JNS11962. PMID 22394292.


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