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首页> 外文期刊>Neurosurgical focus >The estimated cost of surgically managed isolated traumatic head injury secondary to road traffic accidents
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The estimated cost of surgically managed isolated traumatic head injury secondary to road traffic accidents

机译：道路交通事故导致的手术治疗孤立性颅脑外伤的估计费用

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OBJECTIVE Traumatic brain injury due to road traffic accidents occurs mainly in the younger age group in which injury-related disability leads to long-term impact on employment and economic and social consequences across the lifespan. This study was designed to assign a monetary cost (in Malaysian ringgits [RM]) to the treatment of patients with surgically treated isolated traumatic head injury as determined up to 1 year after injury. METHODS Relevant resource items used were identified and valued using the direct measurement of costs method, cost accounting methods, standard unit costs method, fees, charges and/or market prices method. These values were then tabulated to generate the total costs for each patient, via a combination of macro-costing and micro-costing methods. Malaysian currency values were converted to US dollars according to the average conversion rate for the period from January to May 2016: RM1 = US$0.2452. RESULTS This costing study analyzed data from 49 patients. The estimated cost for the 1st year of care for all patients was RM1,471,919.80 (US$360,914.735), with a mean (± SD) cost per case of RM30,039.18 ± 22,986.25 or $7365.61 ± $5636.23. The mean cost of care per case was RM11,041.35 ± 10,936.88 or $2707.34 ± $2681.72 for mild head injury, RM32,550.00 ± 20,998.76 or $7981.26 ± $5148.90 for moderate head injury, and RM36,917.86 ± 23,697.34 or $9052.26 ± $5810.59 for severe head injury. Severe head injury (p = 0.001), sustaining 2 or more intracranial pathologies (p = 0.01), having a poor Glasgow Outcome Scale (GOS) score (GOS score 1–3) (p = 0.02), requiring a tracheostomy (p < 0.001), and contracting pneumonia (p < 0.001) were significantly associated with higher cost. Logistic regression analysis revealed that cost of care increased by RM591.60 or $145.06 per year increment of age (β = RM591.60, p = 0.05). CONCLUSIONS The mean cost of treatment for traumatic head injury is high compared to the per capita income of RM37,900 in 2016. The cost values generated in this study provide baseline cost estimates that the authors hope will be used as a guide to determine where adequate funding should be allocated to provide timely and appropriate delivery of care.
机译：目的道路交通事故造成的颅脑外伤主要发生在年龄较小的年龄段，与伤害相关的残疾导致对就业的长期影响以及整个生命周期的经济和社会后果。这项研究旨在分配金钱成本（马来西亚林吉特[RM]）给接受手术治疗的孤立性颅脑外伤患者的治疗，直至伤后一年。方法使用直接成本法，成本会计法，标准单位成本法，费用，收费和/或市场价格法对所使用的相关资源项目进行识别和估价。然后将这些值制成表格，以结合宏观成本核算和微观成本核算方法，为每个患者产生总成本。马来西亚货币价值根据2016年1月至2016年5月的平均汇率转换为美元：1令吉= 0.2452美元。结果这项成本研究分析了49位患者的数据。所有患者护理第一年的估计费用为1,471,919.80令吉（360,914.735美元），每例的平均（±SD）费用为30,039.18令吉±22,986.25令吉或7365.61港元±5636.23美元。每例平均护理费用为轻度颅脑损伤RM11,041.35±10,936.88或$ 2707.34±$ 2681.72，中度颅脑损伤为RM32,550.00±20,998.76或$ 7981.26±$ 5148.90，重度颅脑损伤为RM36,917.86±23,697.34或$ 9052.26±$ 5810.59 。严重的颅脑损伤（p = 0.001），持续2种或多种颅内病变（p = 0.01），格拉斯哥预后评分（GOS）评分（GOS 1-3）（p = 0.02）差，需要气管切开术（p < 0.001）和感染性肺炎（p <0.001）与较高的成本显着相关。 Logistic回归分析显示，随着年龄的增长，护理费用增加了RM591.60或$ 145.06（β= RM591.60，p = 0.05）。结论与2016年人均收入37,900令吉相比，治疗颅脑外伤的平均成本较高。本研究产生的成本值提供了基线成本估算，作者希望以此为指导来确定适当的位置应该分配资金以提供及时和适当的护理。

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