Abstract
Objective: To quantify the economic burden of all-cause health care resource utilization (HCRU) among adults with and without chronic vestibular impairment (CVI) after a mild traumatic brain injury (mTBI). Design: Retrospective matched cohort study. Setting: IQVIA Integrated Data Warehouse. Participants: People with mTBI+CVI (n=20,441) matched on baseline age, sex, year of mTBI event, and Charlson Comorbidity Index (CCI) score to people with mTBI only (n=20,441) (N=40,882). Interventions: Not applicable. Main Outcome Measures: All-cause health HCRU and costs at 12 and 24 months post mTBI diagnosis. Results: People with mTBI+CVI had significantly higher all-cause HCRU and costs at both time points than those with mTBI only. Multivariable regression analysis showed that, when controlling for baseline variables, costs of care were 1.5 times higher for mTBI+CVI than mTBI only. Conclusions: People who developed CVI after mTBI had greater overall HCRU and costs for up to 2 years after the injury event compared with people who did not develop CVI after controlling for age, sex, region, and CCI score. Further research on access to follow-up services and effectiveness of interventions to address CVI is warranted.
Original language | English (US) |
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Pages (from-to) | 90-97.e8 |
Journal | Archives of physical medicine and rehabilitation |
Volume | 103 |
Issue number | 1 |
DOIs | |
State | Published - Jan 2022 |
Funding
Disclosures: Helius Medical Technologies provided financial support for the editorial development of the manuscript. Authors J.Y., M.D., and R.A. are employees of IQVIA, which received funding from Helius Medical Technologies for this study. Dr Bender Pape reports serving on the scientific advisory board of Helius. For the remaining authors (A.M.C., N.J.), none were reported. At the time this work was completed, Dr Cogan was supported by a Polytrauma/TBI Advanced Fellowship from the Veterans Administration Office of Academic Affiliations.
Keywords
- Brain concussion
- Costs and cost analysis
- Health care costs
- Postural balance
- Rehabilitation
ASJC Scopus subject areas
- Rehabilitation
- Physical Therapy, Sports Therapy and Rehabilitation