ArticlePloS one2021
Long-term medical and productivity costs of severe trauma: Results from a prospective cohort study.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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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
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cost-effectiveness of specialized trauma care: A systematic review.Journal of health services research & policy · 2026Pooled it
- The UK resuscitative endovascular balloon occlusion of the aorta in trauma patients with life-threatening torso haemorrhage: the (UK-REBOA) multicentre RCT.Health technology assessment (Winchester, England) · 2024Trial
- Clinical and Injury-Related Factors Associated with In-Hospital Complications After Traumatic Spinal Injury: A 7-Year Retrospective Cohort Study.Journal of clinical medicine · 2026Article
- Predictors of In-Hospital Mortality After Operative Cervical Spinal Cord Injury: A National Trauma Data Bank Analysis From 2021 to 2023.Global spine journal · 2026Article
- Telemedicine Devices in Prehospital Trauma Care: A Scoping Review of Telemedical Actions, Clinical Utilities and Implementation Barriers.Journal of medical systems · 2026Article
- Science of heat mapping: Thermography in musculoskeletal disorders.World journal of orthopedics · 2026Review
- Long-term return to work and income trajectories after major trauma: a 10-year nationwide retrospective cohort study in Taiwan.BMJ open · 2025Article
- [Does Arterial Blood Gas Analysis Predict an Adverse Course in Patients Admitted with Isolated Diaphyseal Femur Fractures?]Revista brasileira de ortopedia · 2025Article
- Does Arterial Blood Gas Analysis Predict an Adverse Course in Patients Admitted with Isolated Diaphyseal Femur Fractures?Revista brasileira de ortopedia · 2025Article
- The role of video-assisted thoracoscopy in chest trauma: a retrospective monocentric experience.Updates in surgery · 2025Article
- Remote Digital Health Interventions to Support the Physical, Functional, or Psychological Rehabilitation of Adult Patients With Major Traumatic Injuries: Protocol for a Systematic Review of Randomized Controlled Trials.JMIR research protocols · 2025Article
- Nursing Interventions in Approaching Trauma Victims: Scoping Review.Journal of clinical medicine · 2025Review
- No cost difference between single or dual implants for distal femur fractures in the perioperative period.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Review
- Financial Cost of Treating Polytrauma in a Public Tertiary Hospital in the South-Eastern Democratic Republic of Congo: A Case Series Study.ClinicoEconomics and outcomes research : CEOR · 2025Article
- Study of the Effect of Methyl Eugenol on Gastric Damage Produced by Spinal Cord Injury Model in the Rat.Molecules (Basel, Switzerland) · 2024Article
- Health care costs and service utilization in the first year following moderate to severe traumatic injury.BMC health services research · 2024Article
- Extremity fractures, attempted suicide, blood transfusion and thromboembolic events are independent risk factors for a prolonged hospital stay in severely injured elderly.Aging clinical and experimental research · 2024Article
- Costs of fracture-related infection: the impact on direct hospital costs and healthcare utilisation.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Systemic Inflammatory Changes in Spinal Cord Injured Patients after Adding Aquatic Therapy to Standard Physiotherapy Treatment.International journal of molecular sciences · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThrough improvements in trauma care there has been a decline in injury mortality, as more people survive severe trauma. Patients who survive severe trauma are at risk of long-term disabilities which may place a high economic burden on society. The purpose of this study was to estimate the health care and productivity costs of severe trauma patients up to 24 months after sustaining the injury. Furthermore, we investigated the impact of injury severity level on health care utilization and costs and determined predictors for health care and productivity costs.
methodsThis prospective cohort study included adult trauma patients with severe injury (ISS≥16). Data on in-hospital health care use, 24-month post-hospital health care use and productivity loss were obtained from hospital registry data and collected with the iMTA Medical Consumption and Productivity Cost Questionnaire. The questionnaires were completed 1 week and 1, 3, 6, 12 and 24 months after injury. Log-linked gamma generalized linear models were used to investigate the drivers of health care and productivity costs.
resultsIn total, 174 severe injury patients were included in this study. The median age of participants was 55 years and the majority were male (66.1%). The mean hospital stay was 14.2 (SD = 13.5) days. Patients with paid employment returned to work 21 weeks after injury. In total, the mean costs per patient were €24,760 with in-hospital costs of €11,930, post-hospital costs of €7,770 and productivity costs of €8,800. Having an ISS ≥25 and lower health status were predictors of high health care costs and male sex was associated with higher productivity costs.
conclusionsBoth health care and productivity costs increased with injury severity, although large differences were observed between patients. It is important for decision-makers to consider not only in-hospital health care utilization but also the long-term consequences and associated costs related to rehabilitation and productivity loss.
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