The incremental cost of traumatic brain injury during the first year after a road traffic accident.
Accidents, Traffic
/ economics
Adult
Age Factors
Aged
Belgium
Brain Injuries, Traumatic
/ complications
Female
Health Care Costs
/ statistics & numerical data
Health Policy
Hospitalization
/ economics
Humans
Length of Stay
/ economics
Magnetic Resonance Imaging
/ economics
Male
Middle Aged
Nursing Homes
/ economics
Patient Readmission
/ economics
Rehabilitation
/ economics
Survival Analysis
Brain injury
cost
craniocerebral trauma
head injury
traffic accident
Journal
Brain injury
ISSN: 1362-301X
Titre abrégé: Brain Inj
Pays: England
ID NLM: 8710358
Informations de publication
Date de publication:
2019
2019
Historique:
pubmed:
13
7
2019
medline:
9
6
2020
entrez:
13
7
2019
Statut:
ppublish
Résumé
This study aims to determine the incremental cost of TBI during the first year after a traffic accident, compared to other patients with similar non-TBI injuries. Secondly, identification of factors associated with medical costs of TBI is pursued. Analyses were performed on administrative data for traffic victims hospitalised in Belgium between 2009 and 2011. Medical costs attributable to the accident are estimated over one year post-injury. Cases with TBI were matched to controls with similar non-TBI injuries to determine the incremental cost of TBI. Both aims of this research were assessed using regression analysis. The incremental cost of TBI is estimated to range between € 10 042 (95%CI [€8198; €11 887]) and €21 715 (95%CI [€13 5889; €29 540]). Age, problems with self-reliance, survival status, the occurrence of acute events and severity of TBI are significant predictors of medical costs. As to healthcare utilisation, MRI usage, inpatient rehabilitation facilities, nursing homes and readmissions to acute hospital stand out as having most influence on costs. This study reveals a considerable incremental cost of TBI. Policy-making bodies should be made aware of this phenomenon and a diversified policy should be considered when financing programs are discussed.
Identifiants
pubmed: 31298587
doi: 10.1080/02699052.2019.1641224
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM