Page 77 - DECISION-MAKING IN SEVERE TRAUMATIC BRAIN INJURY PATIENT OUTCOME, HOSPITAL COSTS, AND RESEARCH PRACTICE

Cost data source
Hospital/physician charges from hospitals and physicians billing office
Copy of final billed charges submitted to designated payer
ChineseTrauma Database dataset.
Hospital administrative records
Billed charges from a large multihospital database
Trauma Audit and Research Network database and reference unit costs from different sources
Patient records and/ or financial data
Accepted claims from Compensation Research Database
Hospital’s trauma registry
National Inpatient Sample (NIS) of 1996
Institution’s billing department
Details on cost calculation
NP, most likely directly obtained from billing office
NP, most likely the submitted charges
NP,mostlikely directly obtained from dataset
Charges converted to costs with institution specific CCR
Charges converted to costs with CCR
Resource use from database and unit count multiplied by unit costs for other costs
NP, most likely directly obtained from records or financial data
Mean costs calculated for each service category
NP, most likely directly obtained from trauma registry
Database contains patient-level clinical and resource use information
NP, most likely directly obtained from billing department
Included costs
Currency (Y) / GDP per capita b
Results ($ 2015) c
(% of GDP per capita)
Review on in-hospital costs after severe traumatic brain injury
Charges used as US$ (1988) / - GCS3-8: $93,934 (247%) (range: proxy for costs. $38,048 $8,881–$328,857)
Initial acute care - AIS4: $32,375 (85%) ($16,378-
$81,852)
- AIS5: $145,573 (383%) ($36,096- 3
$328,857)
Hospitalization US$ (1989- - GCS6-8: $90,291 (200%) ± $72,243
costs (billed 1992) / - GCS3-5: $141,813 (314%) ± $84,216 charges) for $45,150
acute care
excluding
physicians fee
Hospitalization US$(NP)/ - AIS4:$2,130(70%)±3,881
costs $3,039 - AIS5-6: $3,586 (118%) ± 5,384
Hospital costs US$ (2007) / - Group 1 (GCS 5.6 ±2.3): $116,387 $54,204 (215%) ± $85,034
- Group 2 (GCS 5.1±2.2): $143,453 (265%) ± $88,079
Hospitalization US$ (1999) / - AIS4: $23,017 (48%) costs of acute $47,467 - AIS5: $45,981 (97%) treatment
National Health £(NP)/ - AIS4: $16,110 ± $30,088 (60%) Service hospital $49,803 - AIS5: $29,504 ± $29,944 (60%) costs
Hospital US$ (NP) / - Before implementation (GCS charges $47,467 6.4±0.7): $268,902 (567%) ±
$31,761
- After implementation (GCS
6.9±0.5): $401,808 (846%) ± $27,364
Direct cost of AUD $ - Acute hospital services: $45,384 healthcare over (2009) / (98%) ± $38,720
5-year period $46,885
post-injury
Hospital US$ (NP) / - TBI+ARDS group (GCS 4±2): charges $51,638 $258,790 (501%) ± $296,186
- TBI group (GCS 5±2): $142,074 (275%) ± $198,248
Hospitalization US$ (1996) / - Mean $47,004 (109%) ± $3,238; billed charges $43,035 - Median $20,886
for acute care
Inpatient US$ (2009) / - Group 1 (GCS 5.4±1.7):
treatment costs (ED, ICU, ward, lab, imaging, surgery)
$1,105
$8,811(797%)
- Group 2 (GCS 6.0±1.7): $10,934
(990%)
75