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Objective—To provide charge estimates of treatment for traumatic brain injury (TBI), including both hospital and physician charges, among adults aged 65 and older treated at a trauma center. Methods—We identified older adults treated for TBI during 2008–2012 (n=1,843) at Maryland’s Primary Adult Resource Center and obtained hospital and physician charges separately. Analyses were stratified by sex and all charges were inflated to 2012 dollars. Total TBI charges were modeled as a function of covariates using a generalized linear model. Results—Women comprised 48% of the sample. The mean unadjusted total TBI hospitalization charges for adults aged 65 and older was $36,075 (standard deviation (SD) $63,073). Physician charges comprised 15% of total charges. Adjusted mean charges were lower in women than in men (adjusted difference −$894; 95% confidence interval (CI) −$277, −$1,512). Length of hospital and ICU stay were associated with the highest charges. Conclusions—This study provides the first estimates of hospital and physician charges associated with hospitalization for TBI among older adults at a trauma center that will aid in resource allocation, triage decisions, and healthcare policy.

Source Citation

Albrecht JS, Slejko JF, Stein DM, Smith GS. Treatment Charges for Traumatic Brain Injury Among Older Adults at a Trauma Center. Journal of Head Trauma Rehabilitation. 2017;32(6):E45-E53. doi:10.1097/htr.0000000000000297