Mild traumatic brain injury in the United States: demographics, brain imaging procedures, health-care utilization and costs.
Brain Inj
; 33(9): 1151-1157, 2019.
Article
em En
| MEDLINE
| ID: mdl-31241427
ABSTRACT
Objective:
To characterize mild traumatic brain injury (mTBI) patients in the USA, describing location of diagnosis, timing, and modality of imaging procedures, health-care resource utilization (HRU) and costs in the 12-month period post-diagnosis. ResearchDesign:
Retrospective claims analysisMethods:
Anonymized data from the OptumHealth Care Solutions claims database (2006-2016). The index date was the first date with an mTBI diagnosis. HRU and costs (2016 USD) were assessed in the 12-month post-index period.Results:
A total of 80,004 patients with mTBI were included 60% were under 26 years and 54% were male. Mild TBI was most frequently diagnosed in an emergency department (ED) for all age groups, except patients aged 11-17 years, for whom the outpatient setting was the most frequent place of diagnosis. Almost half (47%) received brain imaging on the index date, with 98% of which receiving computed tomography. Mean follow-up health-care costs were $13,564 (SD = $41,071), primarily from inpatient ($4,675, SD = $29,982) and non-ED outpatient/physician office visits ($4,207, SD = $12,697). Older patients had greater HRU and higher health-care costs.Conclusions:
The findings of this claims-based study show substantial HRU and costs associated with mTBI diagnosis during a 12-month follow-up period.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Encéfalo
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Concussão Encefálica
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Aceitação pelo Paciente de Cuidados de Saúde
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Custos de Cuidados de Saúde
Tipo de estudo:
Health_economic_evaluation
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Observational_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Aged80
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Child
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article