Abstract：
OBJECTIVES:This is the first socioeconomic study on traumatic brain injury (TBI) undertaken to determine the sociodemographic factors implicated in the occurrence of TBI and to assess the value of the direct cost of the management of TBI at the initial phase in the Hubert Koutoukou Maga National Teaching Hospital of Cotonou. METHODS:This was a prospective study with descriptive and analytic aim that took place from January 1 to July 31, 2014. An individual approach of each patient's expenditure was undertaken via the use of a questionnaire on which all expenses were identified systematically. The dependent variable was the global direct cost of care. The independent variables were the type of accident, severity of the TBI, the structures of care, the stay in the resuscitation unit, the duration of hospitalization. RESULTS:There were 297 patients with TBI: 258 men (86.9%) and 39 women (13.1%), with a sex ratio of 6.61. The average age of patients was 34.3 ± 12.39 years. The average direct cost of care for TBI was €285.67 ± 310.15. The average cost for severe TBI was €522.08 ± 439.91 versus €188.19 ± 164.83 for mild TBI (odds ratio 5.52; standard deviation: 0.0527-0.6222). The average cost was increased significantly more when the patients went through a peripheral hospital (odds ratio 3.65; standard deviation: 1.819-7.3245). CONCLUSIONS:The organization of Benin's health system did not allow for the optimum management of TBI. It seems imperative to develop an insurance system that will allow a proper and effective support for victims of traffic accidents.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Hode L,Madougou S,Fatigba HO,Hounnou P,Ebassa K,Hans Moevi AA,Assouto Pdoi
10.1016/j.wneu.2016.11.083subject
Has Abstractpub_date
2017-03-01 00:00:00pages
210-213eissn
1878-8750issn
1878-8769pii
S1878-8750(16)31231-1journal_volume
99pub_type
杂志文章abstract：BACKGROUND:Acute myelopathy in cases of thoracic disc herniation (TDH) is an exceptional condition for which the treatment is not codified. Here we present the results of a standardized procedure in 10 patients who underwent surgery for acute myelopathy on TDH between December 2009 and December 2016. METHODS:Our appro...
journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2017-11-01 00:00:00
abstract：OBJECTIVE:To report new results with ethylene oxide sterilization and new experiences with autogenous bone flaps autoclaved at a high or low temperature for preservation of a bone flap after decompressive craniectomy. METHODS:In 45 patients who underwent a decompressive craniectomy, we determined bone flap preservatio...
journal_title：World neurosurgery
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abstract：BACKGROUND:Intracranial hemorrhage is a common complication of traumatic brain injury (TBI). The purpose of this study is evaluation of the effect of tranexamic acid (TXA) on hemorrhagic mass growth in TBI patients. PATIENTS AND METHODS:In this randomized, double-blind clinical trial, 149 patients with TBI and any kin...
journal_title：World neurosurgery
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.wneu.2017.10.075
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abstract：OBJECTIVE:To identify whether age, sex, and lesion location are associated with initial presentation in patients with brain arteriovenous malformations (AVMs). METHODS:Collected data of 3299 consecutive patients with AVM treated at Beijing Tiantan Hosptial from January 1980 to January 2015 were analyzed. The variables...
journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2016-03-01 00:00:00
abstract：:Stereotactic radiosurgery is a safe and effective technology that can address a variety of neurosurgical conditions, but in many parts of the world, access remains an issue. Although the technology is increasingly available in the United States, Canada, Europe, and parts of Asia, poor access to central nervous system ...
journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2019-10-01 00:00:00
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2018.09.132
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journal_title：World neurosurgery
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.06.022
更新日期：2019-09-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2018-12-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2020-10-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,meta分析,评审
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更新日期：2014-07-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2020-12-29 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2019-09-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2018-11-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2016.12.128
更新日期：2017-04-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.03.265
更新日期：2019-07-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2015.11.022
更新日期：2016-03-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,meta分析,评审
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更新日期：2017-08-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2019-12-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2014-11-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,meta分析,评审
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更新日期：2015-10-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2017-08-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2018-03-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.12.036
更新日期：2018-03-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.06.027
更新日期：2018-09-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2018-06-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.05.004
更新日期：2019-08-01 00:00:00
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更新日期：2020-07-01 00:00:00
