Prang Khic-Houy, Ruseckaite Rasa, Collie Alex
Institute for Safety, Compensation and Recovery Research, Monash University, Melbourne, Australia.
Brain Inj. 2012;26(13-14):1611-20. doi: 10.3109/02699052.2012.698790. Epub 2012 Jun 27.
To describe the type, intensity and direct cost of healthcare and disability services used following transport-related traumatic brain injury (TBI).
Using the transport accident compensation regulator database, claims records were examined of 423 cases of adult (18-65 years of age) transport-related TBI occurring between 1 January 1995 and 31 December 2004. Claimants were stratified by TBI severity using the Glasgow Coma Scale (GCS) score. Service utilization and costs were examined by TBI severity in the 5-year period post-injury.
Claimants accessed a total of 409,740 services. Claimants with severe TBI accessed more medical (median 333 per claimant) and paramedical services (median 436 per claimant) than claimants with mild and moderate TBI. Almost 60% of claimants with severe TBI accessed attendant care services compared to 39% and 45% of claimants with moderate and mild TBI, respectively. Average total costs of services were highest among claimants with severe TBI (AUD $324,515 per claimant).
Healthcare service utilization and the economic burden of TBI are substantial. Injury compensation data provides a unique opportunity to explore patterns of healthcare usage post-injury, which is important for the planning and management of resources.
描述交通相关创伤性脑损伤（TBI）后所使用的医疗保健和残疾服务的类型、强度及直接成本。
利用交通事故赔偿监管机构数据库，对1995年1月1日至2004年12月31日期间发生的423例成人（18 - 65岁）交通相关TBI的索赔记录进行审查。使用格拉斯哥昏迷量表（GCS）评分按TBI严重程度对索赔人进行分层。在受伤后的5年期间，按TBI严重程度审查服务利用情况和成本。
索赔人总共使用了409,740项服务。重度TBI索赔人比轻度和中度TBI索赔人使用了更多的医疗服务（每位索赔人中位数为333项）和辅助医疗服务（每位索赔人中位数为436项）。重度TBI索赔人中近60%使用了护理服务，而中度和轻度TBI索赔人分别为39%和45%。重度TBI索赔人的服务平均总成本最高（每位索赔人324,515澳元）。
医疗保健服务利用和TBI的经济负担巨大。伤害赔偿数据为探索受伤后的医疗使用模式提供了独特机会，这对资源规划和管理很重要。
