ArticleThe Journal of head trauma rehabilitation
Estimated Life-Time Savings in the Cost of Ongoing Care Following Specialist Rehabilitation for Severe Traumatic Brain Injury in the United Kingdom.
Article in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Long-term life expectancy in severe traumatic brain injury: a systematic review.European journal of physical and rehabilitation medicine · 2024Pooled it
- Rehabilitation Outcomes in Patients Who Regained Consciousness.Neurology international · 2026Article
- Differences in Inpatient Total Costs in Traumatic Brain Injury: A Retrospective Analysis from a Romanian Tertiary Care Center.Healthcare (Basel, Switzerland) · 2025Article
- Cost efficiency of inpatient rehabilitation following acquired brain injury: the first international adaptation of the UK approach.BMJ open · 2024Observational
- Development of an Assistive Technology for Cognition to Support Meal Preparation in Severe Traumatic Brain Injury: User-Centered Design Study.JMIR human factors · 2022Article
- Traumatic brain injury epidemiology and rehabilitation in Ireland: a protocol paper.HRB open research · 2021Article
- Value and Cost Savings From Access to Multi-disciplinary Rehabilitation Services After Severe Acquired Brain Injury.Frontiers in public health · 2021Article
- Financing of physical rehabilitation services in Iran: a stakeholder and social network analysis.BMC health services research · 2020Article
- Research priorities for rehabilitation and aging with HIV: a framework from the Canada-International HIV and Rehabilitation Research Collaborative (CIHRRC).AIDS research and therapy · 2020Article
- Neuropsychological rehabilitation interventions for people with an acquired brain injury. A protocol for a systematic review of economic evaluation.HRB open research · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesTo evaluate cost-efficiency of rehabilitation following severe traumatic brain injury (TBI) and estimate the life-time savings in costs of care. SETTING/
participantsTBI patients (n = 3578/6043) admitted to all 75 specialist rehabilitation services in England 2010-2018.
designA multicenter cohort analysis of prospectively collated clinical data from the UK Rehabilitation Outcomes Collaborative national clinical database. MAIN MEASURES: Primary outcomes: (a) reduction in dependency (UK Functional Assessment Measure), (b) cost-efficiency, measured in time taken to offset rehabilitation costs by savings in costs of ongoing care estimated by the Northwick Park Dependency Scale/Care Needs Assessment (NPDS/NPCNA), and (c) estimated life-time savings.
resultsThe mean age was 49 years (74% males). Including patients who remained in persistent vegetative state on discharge, the mean episode cost of rehabilitation was £42 894 (95% CI: £41 512, £44 235), which was offset within 18.2 months by NPCNA-estimated savings in ongoing care costs. The mean period life expectancy adjusted for TBI severity was 21.6 years, giving mean net life-time savings in care costs of £679 776/patient (95% CI: £635 972, £722 786).
conclusionsSpecialist rehabilitation proved highly cost-efficient for severely disabled patients with TBI, despite their reduced life-span, potentially generating over £4 billion savings in the cost of ongoing care for this 8-year national cohort.
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