@article{ref1,
title="Analysis of direct costs of decompressive craniectomy in victims of traumatic brain injury",
journal="Arquivos de Neuro-Psiquiatria",
year="2018",
author="Badke, Guilherme Lellis and Araujo, João Luiz Vitorino and Miura, Flávio Key and Guirado, Vinicius Monteiro de Paula and Saade, Nelson and Paiva, Aline Lariessy Campos and Avelar, Tiago Marques and Pedrozo, Charles Alfred Grander and Veiga, José Carlos Esteves",
volume="76",
number="4",
pages="257-264",
abstract="BACKGROUND: Decompressive craniectomy is a procedure required in some cases of traumatic brain injury (TBI). This manuscript evaluates the direct costs and outcomes of decompressive craniectomy for TBI in a developing country and describes the epidemiological profile. <br><br>METHODS: A retrospective study was performed using a five-year neurosurgical database, taking a sample of patients with TBI who underwent decompressive craniectomy. Several variables were considered and a formula was developed for calculating the total cost. <br><br>RESULTS: Most patients had multiple brain lesions and the majority (69.0%) developed an infectious complication. The general mortality index was 68.8%. The total cost was R$ 2,116,960.22 (US$ 661,550.06) and the mean patient cost was R$ 66,155.00 (US$ 20,673.44). <br><br>CONCLUSIONS: Decompressive craniectomy for TBI is an expensive procedure that is also associated with high morbidity and mortality. This was the first study performed in a developing country that aimed to evaluate the direct costs. Prevention measures should be a priority.<p /> <p>Language: en</p>",
language="en",
issn="0004-282X",
doi="10.1590/0004-282x20180016",
url="http://dx.doi.org/10.1590/0004-282x20180016"
}