Chapter

Is more aggressive treatment of pediatric traumatic brain injury worth it?

J. Mick Tilford and Ali I. Raja

in Economic Evaluation in Child Health

Published in print October 2009 | ISBN: 9780199547494
Published online February 2010 | e-ISBN: 9780191720055 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780199547494.003.09
 Is more aggressive treatment of pediatric traumatic brain injury worth it?

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Traumatic brain injury (TBI) is a major health problem worldwide and is often referred to as the ‘silent epidemic’. The uncertainty faced by clinicians in treating children with severe brain injuries is controversial with important clinical and social implications. This chapter weighs the costs and consequences of aggressive treatment of pediatric TBI. It is organized into three sections. First, the physiology and treatment of TBI in children is described. Second, a cost-effectiveness analysis evaluating technology improvement in the treatment of pediatric TBI is presented. This analysis incorporates quality-adjusted life years (QALYs) using published data on preference-weighted health outcomes for children with TBI. Finally, the implications and clinical policy relevance of the analysis are discussed and additional research that could inform clinical policy is outlined.

Keywords: traumatic brain injury; TBI; cost-effectiveness analysis; quality-adjusted life year; QALY; health outcomes; clinical policy

Chapter.  7804 words.  Illustrated.

Subjects: Public Health and Epidemiology

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