The costs of traumatic brain injury due to motorcycle accidents in Hanoi, Vietnam

Hoang, Hanh T. M., Pham, Tran L., Vo, Thuy T. N., Nguyen, Phuong K., Dorna, Christopher M. and Hill, Peter S. (2008) The costs of traumatic brain injury due to motorcycle accidents in Hanoi, Vietnam. Cost Effectiveness and Resource Allocation, 6 17: 1-7. doi:10.1186/1478-7547-6-17


Author Hoang, Hanh T. M.
Pham, Tran L.
Vo, Thuy T. N.
Nguyen, Phuong K.
Dorna, Christopher M.
Hill, Peter S.
Title The costs of traumatic brain injury due to motorcycle accidents in Hanoi, Vietnam
Journal name Cost Effectiveness and Resource Allocation   Check publisher's open access policy
ISSN 1478-7547
Publication date 2008-08-22
Year available 2008
Sub-type Article (original research)
DOI 10.1186/1478-7547-6-17
Open Access Status DOI
Volume 6
Issue 17
Start page 1
End page 7
Total pages 7
Editor David B. Evans
Place of publication London, United Kingdom
Publisher BioMed Central
Collection year 2009
Language eng
Subject 920503 Health Related to Specific Ethnic Groups
111799 Public Health and Health Services not elsewhere classified
Formatted abstract
Background
Road traffic accidents are the leading cause of fatal and non-fatal injuries in Vietnam. The purpose of this study is to estimate the costs, in the first year post-injury, of non-fatal traumatic brain injury (TBI) in motorcycle users not wearing helmets in Hanoi, Vietnam. The costs are calculated from the perspective of the injured patients and their families, and include quantification of direct, indirect and intangible costs, using years lost due to disability as a proxy.

Methods
The study was a retrospective cross-sectional study. Data on treatment and rehabilitation costs, employment and support were obtained from patients and their families using a structured questionnaire and The European Quality of Life instrument (EQ6D).

Results

Thirty-five patients and their families were interviewed. On average, patients with severe, moderate and minor TBI incurred direct costs at USD 2,365, USD 1,390 and USD 849, with time lost for normal activities averaging 54 weeks, 26 weeks and 17 weeks and years lived with disability (YLD) of 0.46, 0.25 and 0.15 year, respectively.

Conclusion

All three component costs of TBI were high; the direct cost accounted for the largest proportion, with costs rising with the severity of TBI. The results suggest that the burden of TBI can be catastrophic for families because of high direct costs, significant time off work for patients and caregivers, and impact on health-related quality of life. Further research is warranted to explore the actual social and economic benefits of mandatory helmet use.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article 17 Published: 22 August 2008

 
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Created: Tue, 24 Mar 2009, 14:18:07 EST by Geraldine Fitzgerald on behalf of Faculty Of Health Sciences