Observational studyCritical care medicine2018
Temporal Trends in Healthcare Costs and Outcome Following ICU Admission After Traumatic Brain Injury.
Observational study in Critical care medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed.
- Gastrointestinal Dysfunction in Critically Ill Patients With Traumatic Brain Injury: Clinical Implications and Putative Mechanisms: a Narrative Review.Current neurology and neuroscience reports · 2026Review
- External validation and comparative performance of Marshall, Rotterdam, and Helsinki computed tomography scores in adult traumatic brain injury.BMC emergency medicine · 2026Article
- Inpatient Trauma Care Costs in the US From 2012 to 2021.JAMA network open · 2025Article
- Intensive care unit caseload and workload and their association with outcomes in critically unwell patients: a large registry-based cohort analysis.Critical care (London, England) · 2024Article
- Variation in Severity-Adjusted Resource use and Outcome for Neurosurgical Emergencies in the Intensive Care Unit.Neurocritical care · 2024Article
- Effect of antiplatelet and anticoagulant medication use on injury severity and mortality in patients with traumatic brain injury treated in the intensive care unit.Acta neurochirurgica · 2023Observational
- Epidemiology and disease burden of patients requiring neurocritical care: a Brazilian multicentre cohort study.Scientific reports · 2023Article
- The effect of recombinant erythropoietin on long-term outcome after moderate-to-severe traumatic brain injury.Intensive care medicine · 2023Article
- Early thrombocytopenia is associated with an increased risk of mortality in patients with traumatic brain injury treated in the intensive care unit: a Finnish Intensive Care Consortium study.Acta neurochirurgica · 2022Article
- One-year healthcare costs of patients with spontaneous intracerebral hemorrhage treated in the intensive care unit.European stroke journal · 2022Article
- Temporal trends of medical cost and cost-effectiveness in sepsis patients: a Japanese nationwide medical claims database.Journal of intensive care · 2022Article
- Craniotomies following acute traumatic brain injury in Finland-a national study between 1997 and 2018.Acta neurochirurgica · 2022Article
- Trends in mortality after intensive care of patients with traumatic brain injury in Finland from 2003 to 2019: a Finnish Intensive Care Consortium study.Acta neurochirurgica · 2022Article
- Psychotropic medication use among patients with a traumatic brain injury treated in the intensive care unit: a multi-centre observational study.Acta neurochirurgica · 2021Observational
- Intensive care-treated cardiac arrest: a retrospective study on the impact of extended age on mortality, neurological outcome, received treatments and healthcare-associated costs.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- The Association Between Arterial Oxygen Level and Outcome in Neurocritically Ill Patients is not Affected by Blood Pressure.Neurocritical care · 2021Article
- Early surgery for superficial supratentorial spontaneous intracerebral hemorrhage: a Finnish Intensive Care Consortium study.Acta neurochirurgica · 2020Article
- Costs, outcome and cost-effectiveness of neurocritical care: a multi-center observational study.Critical care (London, England) · 2018Observational
- Cost of healthcare rehabilitation services following road traffic injuries: Results from a Level-I trauma center in Saudi Arabia.Journal of family & community medicineArticle
Corrections and comments
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Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess temporal trends in 1-year healthcare costs and outcome of intensive care for traumatic brain injury in Finland.
designRetrospective observational cohort study.
settingMulticenter study including four tertiary ICUs. PATIENTS: Three thousand fifty-one adult patients (≥ 18 yr) with significant traumatic brain injury treated in a tertiary ICU during 2003-2013.
interventionNone. MEASUREMENTS AND MAIN
resultsTotal 1-year healthcare costs included the index hospitalization costs, rehabilitation unit costs, and social security reimbursements. All costs are reported as 2013 U.S. dollars ($). Outcomes were 1-year mortality and permanent disability. Multivariate regression models, adjusting for case-mix, were used to assess temporal trends in costs and outcome in predefined Glasgow Coma Scale (3-8, 9-12, and 13-15) and age (18-40, 41-64, and ≥ 65 yr) subgroups. Overall 1-year survival was 76% (n = 2,304), and of 1-year survivors, 37% (n = 850) were permanently disabled. Mean unadjusted 1-year healthcare cost was $39,809 (95% CI, $38,144-$41,473) per patient. Adjusted healthcare costs decreased only in the Glasgow Coma Scale 13-15 and 65 years and older subgroups, due to lower rehabilitation costs. Adjusted 1-year mortality did not change in any subgroup (p < 0.05 for all subgroups). Adjusted risk of permanent disability decreased significantly in all subgroups (p < 0.05).
conclusionDuring the last decade, healthcare costs of ICU-admitted traumatic brain injury patients have remained largely the same in Finland. No change in mortality was noted, but the risk for permanent disability decreased significantly. Thus, our results suggest that cost-effectiveness of traumatic brain injury care has improved during the past decade in Finland.
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