TY  - JOUR
PY  - 2019//
TI  - Mild traumatic brain injury in the United States: demographics, brain imaging procedures, health-care utilization and costs
JO  - Brain injury
A1  - Pavlov, Vladislav
A1  - Thompson-Leduc, Philippe
A1  - Zimmer, Louise
A1  - Wen, Jody
A1  - Shea, Jerome
A1  - Beyhaghi, Hadi
A1  - Toback, Seth
A1  - Kirson, Noam
A1  - Miller, Mark
SP  - 1151
EP  - 1157
VL  - 33
IS  - 9
N2  - <b>Objective</b>: To characterize mild traumatic brain injury (mTBI) patients in the USA, describing location of diagnosis, timing, and modality of imaging procedures, health-care resource utilization (HRU) and costs in the 12-month period post-diagnosis. <b>Research Design</b>: Retrospective claims analysis <b>Methods</b>: Anonymized data from the OptumHealth Care Solutions claims database (2006-2016). The index date was the first date with an mTBI diagnosis. HRU and costs (2016 USD) were assessed in the 12-month post-index period. <b>Results</b>: A total of 80,004 patients with mTBI were included: 60% were under 26 years and 54% were male. Mild TBI was most frequently diagnosed in an emergency department (ED) for all age groups, except patients aged 11-17 years, for whom the outpatient setting was the most frequent place of diagnosis. Almost half (47%) received brain imaging on the index date, with 98% of which receiving computed tomography. Mean follow-up health-care costs were $13,564 (SD = $41,071), primarily from inpatient ($4,675, SD = $29,982) and non-ED outpatient/physician office visits ($4,207, SD = $12,697). Older patients had greater HRU and higher health-care costs. <b>Conclusions</b>: The findings of this claims-based study show substantial HRU and costs associated with mTBI diagnosis during a 12-month follow-up period.<p />  <p>Language: en</p>
LA  - en
SN  - 0269-9052
UR  - http://dx.doi.org/10.1080/02699052.2019.1629022
ID  - ref1
ER  -