Cost Effectiveness Analysis of Using Multiple Neuromodalities in Treating Severe Traumatic Brain Injury in a Developing Country Like Malaysia
The aim of this study was to determine the cost-effectiveness of using baseline neuromonitoring (BNM) compared with multimodality monitoring (M3) for severe traumatic brain injury (TBI). METHODS: Sixty-two patients with severe TBI underwent a prospective observational study where they were divided i...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2007-10-01
|
Series: | Asian Journal of Surgery |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958408600366 |
id |
doaj-118e84cf236d4b05a53aabd3ed9650a0 |
---|---|
record_format |
Article |
spelling |
doaj-118e84cf236d4b05a53aabd3ed9650a02020-11-24T22:37:30ZengElsevierAsian Journal of Surgery1015-95842007-10-0130426126610.1016/S1015-9584(08)60036-6Cost Effectiveness Analysis of Using Multiple Neuromodalities in Treating Severe Traumatic Brain Injury in a Developing Country Like MalaysiaMohd Ismail Ibrahim0Mazlan Abdullah1Lin Naing2Jafri Malin Abdullah3Zamzuri Idris4Syed Mohamed Aljunid5Departments of Community Medicine School of Medical Sciences, Universiti Sains MalaysiaDepartments of Community Medicine School of Medical Sciences, Universiti Sains MalaysiaDepartments of Community Medicine School of Medical Sciences, Universiti Sains MalaysiaNeurosciences, School of Medical Sciences, Universiti Sains MalaysiaNeurosciences, School of Medical Sciences, Universiti Sains MalaysiaDepartment of Community Health, Faculty of Medicine, National University, MalaysiaThe aim of this study was to determine the cost-effectiveness of using baseline neuromonitoring (BNM) compared with multimodality monitoring (M3) for severe traumatic brain injury (TBI). METHODS: Sixty-two patients with severe TBI underwent a prospective observational study where they were divided into two groups of patients receiving treatment with M3 (32 patients) and BNM (30 patients). The macro and micro costings were performed on each patient. The Barthel Index score after 1 year was used as an outcome measurement tool for both groups. The cost-effectiveness (CE) ratio was calculated using the Poisson regression model. RESULTS: The costs of equipment and consumables between the groups was statistically significant (p < 0.001) after correcting for age and severity of injury. Other cost categories were not significantly different. The crude CE ratios were 168.66 (95% CI: 168.32, 169.03) and 144.16 (95% CI: 143.87, 144.45) for BNM and M3 respectively. The two crude CE ratios were significantly different (p < 0.001). It was calculated by controlling or adjusting age, gender, Glasgow Coma Score, Marshall's classification at admission and type of injury. The adjusted CE ratios were 171.32 (95% CI: 170.97, 171.68) and 141.50 (95% CI: 141.26, 141.79) for BNM and M3, respectively. The two adjusted CE ratios were significantly different (p < 0.001). CONCLUSION: The application of M3 for severe TBI was more cost-effective than BNM. All calculations were made at 3.8 Malaysian Ringgit (MYR) to the United States dollar (USD).http://www.sciencedirect.com/science/article/pii/S1015958408600366cost-effectivenesseconomic evaluationmultiple neuromonitoringsevere traumatic brain injury |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mohd Ismail Ibrahim Mazlan Abdullah Lin Naing Jafri Malin Abdullah Zamzuri Idris Syed Mohamed Aljunid |
spellingShingle |
Mohd Ismail Ibrahim Mazlan Abdullah Lin Naing Jafri Malin Abdullah Zamzuri Idris Syed Mohamed Aljunid Cost Effectiveness Analysis of Using Multiple Neuromodalities in Treating Severe Traumatic Brain Injury in a Developing Country Like Malaysia Asian Journal of Surgery cost-effectiveness economic evaluation multiple neuromonitoring severe traumatic brain injury |
author_facet |
Mohd Ismail Ibrahim Mazlan Abdullah Lin Naing Jafri Malin Abdullah Zamzuri Idris Syed Mohamed Aljunid |
author_sort |
Mohd Ismail Ibrahim |
title |
Cost Effectiveness Analysis of Using Multiple Neuromodalities in Treating Severe Traumatic Brain Injury in a Developing Country Like Malaysia |
title_short |
Cost Effectiveness Analysis of Using Multiple Neuromodalities in Treating Severe Traumatic Brain Injury in a Developing Country Like Malaysia |
title_full |
Cost Effectiveness Analysis of Using Multiple Neuromodalities in Treating Severe Traumatic Brain Injury in a Developing Country Like Malaysia |
title_fullStr |
Cost Effectiveness Analysis of Using Multiple Neuromodalities in Treating Severe Traumatic Brain Injury in a Developing Country Like Malaysia |
title_full_unstemmed |
Cost Effectiveness Analysis of Using Multiple Neuromodalities in Treating Severe Traumatic Brain Injury in a Developing Country Like Malaysia |
title_sort |
cost effectiveness analysis of using multiple neuromodalities in treating severe traumatic brain injury in a developing country like malaysia |
publisher |
Elsevier |
series |
Asian Journal of Surgery |
issn |
1015-9584 |
publishDate |
2007-10-01 |
description |
The aim of this study was to determine the cost-effectiveness of using baseline neuromonitoring (BNM) compared with multimodality monitoring (M3) for severe traumatic brain injury (TBI).
METHODS: Sixty-two patients with severe TBI underwent a prospective observational study where they were divided into two groups of patients receiving treatment with M3 (32 patients) and BNM (30 patients). The macro and micro costings were performed on each patient. The Barthel Index score after 1 year was used as an outcome measurement tool for both groups. The cost-effectiveness (CE) ratio was calculated using the Poisson regression model.
RESULTS: The costs of equipment and consumables between the groups was statistically significant (p < 0.001) after correcting for age and severity of injury. Other cost categories were not significantly different. The crude CE ratios were 168.66 (95% CI: 168.32, 169.03) and 144.16 (95% CI: 143.87, 144.45) for BNM and M3 respectively. The two crude CE ratios were significantly different (p < 0.001). It was calculated by controlling or adjusting age, gender, Glasgow Coma Score, Marshall's classification at admission and type of injury. The adjusted CE ratios were 171.32 (95% CI: 170.97, 171.68) and 141.50 (95% CI: 141.26, 141.79) for BNM and M3, respectively. The two adjusted CE ratios were significantly different (p < 0.001).
CONCLUSION: The application of M3 for severe TBI was more cost-effective than BNM. All calculations were made at 3.8 Malaysian Ringgit (MYR) to the United States dollar (USD). |
topic |
cost-effectiveness economic evaluation multiple neuromonitoring severe traumatic brain injury |
url |
http://www.sciencedirect.com/science/article/pii/S1015958408600366 |
work_keys_str_mv |
AT mohdismailibrahim costeffectivenessanalysisofusingmultipleneuromodalitiesintreatingseveretraumaticbraininjuryinadevelopingcountrylikemalaysia AT mazlanabdullah costeffectivenessanalysisofusingmultipleneuromodalitiesintreatingseveretraumaticbraininjuryinadevelopingcountrylikemalaysia AT linnaing costeffectivenessanalysisofusingmultipleneuromodalitiesintreatingseveretraumaticbraininjuryinadevelopingcountrylikemalaysia AT jafrimalinabdullah costeffectivenessanalysisofusingmultipleneuromodalitiesintreatingseveretraumaticbraininjuryinadevelopingcountrylikemalaysia AT zamzuriidris costeffectivenessanalysisofusingmultipleneuromodalitiesintreatingseveretraumaticbraininjuryinadevelopingcountrylikemalaysia AT syedmohamedaljunid costeffectivenessanalysisofusingmultipleneuromodalitiesintreatingseveretraumaticbraininjuryinadevelopingcountrylikemalaysia |
_version_ |
1725716744617590784 |