Cost-effectiveness of decompressive craniectomy in traumatic brain injuries
作者： K. Malmivaara , R. Kivisaari , J. Hernesniemi , J. Siironen
DOI: 10.1111/J.1468-1331.2010.03294.X
关键词:
摘要: Background and purpose: Decompressive craniectomy (DC) is used regularly in traumatic brain injury (TBI). There are, however, no cost-effectiveness studies of the procedure. Methods: We evaluated outcomes treatment costs all decompressive craniectomies performed between 2000 2006 a single institution to lower intractable intracranial pressure after TBI. The health-related quality life was on Euroqol (EQ-5D) questionnaire visual-analogue scale (VAS), cost quality-adjusted year (QALY) calculated. Results: In this study 54 patients, median follow-up time 5.6 years. Overall mortality rate 41%. Of 22 non-survivors, 73% died within 30 days. For 32 survivors, EQ-5D index value 0.85, which equal normal population. VAS 73, whilst population's 80. 81% (26/32) were able live at home 31% (10/32) returned work. neurosurgical for one QALY 2400€. Estimation medical costs, including rehabilitation anticipated future resulted 17 900 €. Conclusion Mortality severe TBI leading DC high, but amongst Most survivors almost as satisfied with their health general people are. Cost low, also gained acceptable. Language: en
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