Intensive care cost and survival analyses of traumatic brain injury

Memiş, Dilek; Süt, Necdet

Intensive care cost and survival analyses of traumatic brain injury

Necdet SÜT, (Trakya Üniversitesi, Tıp Fakültesi, Biyokimya Anabilim Dalı, Edirne, Türkiye)

Dilek MEMİŞ (Trakya Üniversitesi, Tıp Fakültesi, Biyokimya Anabilim Dalı, Edirne, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

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Yıl: 2010 Cilt: 16 Sayı: 2 Sayfa Aralığı: 149 - 154 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Intensive care cost and survival analyses of traumatic brain injury

Öz:

AMAÇ Travmatik beyin hasarının (TBH) yoğun bakımı, yüksek maliyet, mortalite ve morbiditeye dayalıdır, ancak bu konuda yayınlanmış çalışma sayısı oldukça azdır. Bu çalışmanın amacı, yoğun bakım ünitesine (YBÜ) kabul edilen TBH?li hastaların maliyetlerini ve sağkalım sonuçlarını incelemektir. GEREÇ VE YÖNTEM 2002-2006 yılları arasında Trakya Üniversitesi Hastanesi YBÜ kayıtları geriye dönük olarak incelendi. TBH?li hastalar saptanarak yoğun bakım maliyetleri ve sağkalım sonuçları değerlendirildi. BULGULAR Çalışma grubu 126 hastadan oluşmaktadır ve bu hastaların %27,8?ine cerrahi girişim uygulanmıştır. Erkek cinsiyet (%80,2) daha sıktır, YBÜ?de kalış süresi ortalama 9,8±8,7 gündür ve motorlu taşıt yaralanmaları (%59,5) YBÜ?ye kabuldeki en önemli nedendir. Mortalite oranı %50 ve Glaskow Koma Skoru (GKS) ortalaması 6,1±1,9 olarak bulunmuştur. Ortalama yoğun bakım kalış maliyeti 4846±5084 $?dır. Kurtarılan her bir yaşam maliyeti ve kazanılan her bir yaşam yılı maliyeti sırasıyla 9533 $ ve 313,6 $ olarak hesaplandı. Yaralanma tipleri arasında sağkalım oranları istatistiksel anlamlı farklı bulundu (p=0,010). GKS?nin olguların sağkalım sonuçlarını kestirmede prognostik bir faktör olduğu saptandı (Hazard Oranı: 0,643; %95 GA: 0,529-0.781; p<0,001). SONUÇ TBH?nin yoğun bakım maliyetleri oldukça yüksek bulunmuştur, ayrıca yüksek düzeyde mortalite oranına da sahiptir.

Anahtar Kelime:

Konular: Cerrahi

Travmatik beyin hasarının yoğun bakım maliyeti ve sağkalım analizleri

Öz:

BACKGROUND Intensive care of Traumatic Brain Injury (TBI) 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 US$ 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.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Süt N, Memiş D (2010). Intensive care cost and survival analyses of traumatic brain injury. , 149 - 154.
Chicago	Süt Necdet,Memiş Dilek Intensive care cost and survival analyses of traumatic brain injury. (2010): 149 - 154.
MLA	Süt Necdet,Memiş Dilek Intensive care cost and survival analyses of traumatic brain injury. , 2010, ss.149 - 154.
AMA	Süt N,Memiş D Intensive care cost and survival analyses of traumatic brain injury. . 2010; 149 - 154.
Vancouver	Süt N,Memiş D Intensive care cost and survival analyses of traumatic brain injury. . 2010; 149 - 154.
IEEE	Süt N,Memiş D "Intensive care cost and survival analyses of traumatic brain injury." , ss.149 - 154, 2010.
ISNAD	Süt, Necdet - Memiş, Dilek. "Intensive care cost and survival analyses of traumatic brain injury". (2010), 149-154.

APA	Süt N, Memiş D (2010). Intensive care cost and survival analyses of traumatic brain injury. Ulusal Travma ve Acil Cerrahi Dergisi, 16(2), 149 - 154.
Chicago	Süt Necdet,Memiş Dilek Intensive care cost and survival analyses of traumatic brain injury. Ulusal Travma ve Acil Cerrahi Dergisi 16, no.2 (2010): 149 - 154.
MLA	Süt Necdet,Memiş Dilek Intensive care cost and survival analyses of traumatic brain injury. Ulusal Travma ve Acil Cerrahi Dergisi, vol.16, no.2, 2010, ss.149 - 154.
AMA	Süt N,Memiş D Intensive care cost and survival analyses of traumatic brain injury. Ulusal Travma ve Acil Cerrahi Dergisi. 2010; 16(2): 149 - 154.
Vancouver	Süt N,Memiş D Intensive care cost and survival analyses of traumatic brain injury. Ulusal Travma ve Acil Cerrahi Dergisi. 2010; 16(2): 149 - 154.
IEEE	Süt N,Memiş D "Intensive care cost and survival analyses of traumatic brain injury." Ulusal Travma ve Acil Cerrahi Dergisi, 16, ss.149 - 154, 2010.
ISNAD	Süt, Necdet - Memiş, Dilek. "Intensive care cost and survival analyses of traumatic brain injury". Ulusal Travma ve Acil Cerrahi Dergisi 16/2 (2010), 149-154.