Page 102 - DECISION-MAKING IN SEVERE TRAUMATIC BRAIN INJURY PATIENT OUTCOME, HOSPITAL COSTS, AND RESEARCH PRACTICE
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Table 3. Length of stay and in-hospital costs Patient category N
ICU LOS
Non-ICU LOS
Total costs (€)
Admission costs
Surgery costs
All patients 108
4 ± 4
11 ± 14
24,980 ± 17,060
14,980 ± 14,000
6,890 ± 4,270
Age ≥65 65
3± 3
10 ± 12
20,820 ± 13,480
11,750 ± 10,670
6,150 ± 4,040
Age <65 43
6 ±5
12 ± 16
31,260 ± 19,930
19,850 ± 16,890
8,020 ± 4,410
GCS 3 10
3± 3
11 ± 19
24,690 ± 18,020
13,720 ± 16,310
7,940 ± 2,340
GCS 3 – 5 22
6 ±4
12 ± 17
30,230 ± 16,370
19,110 ± 14,910
7,710 ± 1,750
GCS 3 – 8 49
6 ±5
11 ± 14
29,660 ± 17,870
18,780 ± 15,890
7,520 ± 2,200
GCS 9 – 12 19
3± 3
16 ± 20
27,650 ± 15,780
15,120 ± 12,600
9,230 ± 5,470
GCS 13 – 15 40
2± 4
9 ±8
17,980 ± 14,460
10,250 ± 10,610
5,010 ± 4,840
Pupillary abnormality 27 No abnormalities 74
7± 5 3± 4
13 ± 14 11 ± 14
33,430 ± 18,330 22,220 ± 16,110
22,480 ± 16,850 12,590 ± 12,120
7,510 ± 1,600 6,690 ± 4,940
Emergency surgery 90 No 18 Craniotomy 60 DC 29 ICP monitoring 40 No ICP monitoring 68
5 ±5 1± 2 4 ±4 6 ±5 7 ±5 2 ±3
12 ± 15 4 ±5 12 ± 14 11 ± 16 15 ± 16 9 ± 12
28,670 ± 16,230 6,520 ± 4,320 26,400 ± 14,680 33,140 ± 19,070 36,580 ± 16,650 18,150 ± 13,250
17,120 ± 14,290 4,240 ± 4,160 16,040 ± 12,790 19,950 ± 16,980 23,420 ± 15,260 10,010 ± 10,480
8,270 ± 3,220 0
7,310 ± 3,060 9,550 ± 3,790 9,340 ± 3,730 5,460 ± 3,920
Outcome
Favourable * 50 Unfavourable 56 Dead at discharge 41
3 ±4 5 ±5 5 ±4
11 ± 10 11 ± 16 6 ± 10
20,430 ± 16,540 29,230 ± 16,850 25,340 ± 12,450
12,320 ± 13,170 17,650 ± 14,490 13,890 ± 10,070
5,270 ± 3,910 8,230 ± 4,100 8,180 ± 3,770
Table 3 provides an overview of length of stay and in-hospital costs per subgroup. In-hospital costs are divided between costs related to admission and surgical intervention. Legend:
Mean ± SD; All costs in € and LOS in days.
* GOS outcomes not available for 2 patients
Abbreviations:
N, number; LOS, length of stay; GCS, Glasgow Coma Score; ICU, Intensive Care Unit; DC, decompressive craniectomy; ICP, intracranial pressure.
