Determinants of hospital costs associated with traumatic brain injury in England and Wales.

نویسندگان

  • S Morris
  • S Ridley
  • F E Lecky
  • V Munro
  • M C Christensen
چکیده

Using data from the Trauma Audit Research Network, we investigated the costs of acute care in patients > or = 18 years of age hospitalised for traumatic brain injury between January 2000 and December 2005 in England and Wales. Traumatic brain injury patients were defined and stratified using the Abbreviated Injury Scale. A total of 6484 traumatic brain injury patients were identified; 22.3% had an Abbreviated Injury Scale score of three, 38.0% of four and 39.7% of five. Median age (IQR) was 42 years (28-59) and 76.7% were men. Primary cause of injury was motor vehicle collisions (42.4%) followed by falls (38.0%). In total 23.7% of the patients died before discharge. Hospitalisation costs averaged 15,462 pounds sterling (SD 16,844 pounds sterling). Costs varied significantly by age, Glasgow Coma Score, Injury Severity Score, coexisting injuries of the thorax, spine and lower limb, hospital mortality, availability of neurosurgical services, and specialty of attendants seen in the Accident and Emergency department.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

ارتباط بین غلظت هموگلوبین و مورتالیتی در بیماران ترومای مغزی بستری در بخش مراقبت‌های ویژه

Background and Objective: Traumatic brain injury is one of the main causes of mortality and morbidity worldwide and the second leading cause of death in Iran. About half of patients with traumatic brain injury have hemoglobin of less than 9 g/dL during the first week of admission. With regard to the secondary damage to brain tissues caused by anemia and blood transfusion complications, we decid...

متن کامل

Cotreatment with Furosemide and Hypertonic Saline Decreases Serum Neutrophil Gelatinase-associated Lipocalin (NGAL) and Serum Creatinine Concentrations in Traumatic Brain Injury: A Randomized, Single-Blind Clinical Trial

Acute kidney injury (AKI) occurs both after traumatic brain injury (TBI) and after hypertonic saline administration; furosemide may be useful in preventing AKI indirectly. Serum neutrophil gelatinase-associated lipocalin (sNGAL) is superior to serum creatinine (sCr) in diagnosing early AKI. We compared the administration of hypertonic saline plus furosemide (HTS+F) versus hypertonic saline (HTS...

متن کامل

Cotreatment with Furosemide and Hypertonic Saline Decreases Serum Neutrophil Gelatinase-associated Lipocalin (NGAL) and Serum Creatinine Concentrations in Traumatic Brain Injury: A Randomized, Single-Blind Clinical Trial

Acute kidney injury (AKI) occurs both after traumatic brain injury (TBI) and after hypertonic saline administration; furosemide may be useful in preventing AKI indirectly. Serum neutrophil gelatinase-associated lipocalin (sNGAL) is superior to serum creatinine (sCr) in diagnosing early AKI. We compared the administration of hypertonic saline plus furosemide (HTS+F) versus hypertonic saline (HTS...

متن کامل

Investigating Cognitive Complications Following Of Mild Traumatic Brain Injury In Executive Function And Working Memory Of Patients

This research was designed and conducted to compare the cognitive condition of two groups of healthy people and MTBI patients one year after their injury in terms of both executive functions and working memory.In this causal-comparative study, which was conducted from February 2017 to October 2018, two groups of individuals, 48(MTBI), male Patients from 30 to 55 years old who were admitted to t...

متن کامل

Relationship between Quality of Life after Traumatic Brain Injury and Demographic Characteristics in a Three-Year Follow-Up

 Background and purpose: Quality of life among traumatic brain injury patients is of great importance in having more effective treatment. This study aimed at investigating the relationship between quality of life after traumatic brain injury and demographic characteristics. Materials and methods: In this cohort study, the statistical population included 409 patients with traumatic brain injury...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Anaesthesia

دوره 63 5  شماره 

صفحات  -

تاریخ انتشار 2008