Intensive care cost and survival analyses of traumatic brain injury
Küçük Resim Yok
Tarih
2010
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turkish Assoc Trauma Emergency Surgery
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
BACKGROUND Intensive care of Traumatic Brain Injury (TB!) is associated with substantial morbidity, mortality and cost; however, there is very little published work on this topic. The purpose of this study was to examine direct costs and survival outcomes of patients with TBI admitted to an intensive care unit (ICU). METHODS A retrospective review of the records of Trakya University Hospital's ICU from 2002-2006 was undertaken. Patients with TBI were determined and assessed regarding costs and survival. RESULTS The study group consisted of 126 patients, and 27.8% of them had been operated. Male gender (80.2%) was dominant, mean length of stay was 9.8 +/- 8.7 days, and motor vehicle injury (59.5%) was the major reason for ICU admission. Mortality rate was 50% and the Glasgow Coma Score (GCS) of the patients was 6.1 +/- 1.9. The average cost per ICU stay was US$ 4846 +/- 5084. Cost per life saved and per life-year saved were USS 9533 and US$ 313.60, respectively. Survival rates were significantly different among injury types (p=0.010). GCS appeared to be a prognostic parameter in patient survival (Hazard Ratio: 0.643; 95%CI: 0.529-0.781; p<0.001). CONCLUSION Intensive care of TBI cases is characterized by high mortality and high cost.
Açıklama
Anahtar Kelimeler
Cost Analysis, Intensive Care, Survival, Trauma, Traumatic Brain Injury, Charges, Outcomes, Trends, Stay
Kaynak
Ulusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal Of Trauma & Emergency Surgery
WoS Q Değeri
Q4
Scopus Q Değeri
Q2
Cilt
16
Sayı
2
