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LETTER TO EDITOR
Year : 2017  |  Volume : 12  |  Issue : 1  |  Page : 147

Economic and outcome following severe head injury


Wiwanitkit House, Bangkhae, Bangkok, Thailand, India

Date of Web Publication17-Mar-2017

Correspondence Address:
Somsri Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1793-5482.144207

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How to cite this article:
Wiwanitkit S, Wiwanitkit V. Economic and outcome following severe head injury. Asian J Neurosurg 2017;12:147

How to cite this URL:
Wiwanitkit S, Wiwanitkit V. Economic and outcome following severe head injury. Asian J Neurosurg [serial online] 2017 [cited 2017 Apr 24];12:147. Available from: http://www.asianjns.org/text.asp?2017/12/1/147/144207

Sir,

The recent publication economic outcome following severe head injury is very interesting.[1] Dhandapani et al. reported that “In patients of severe head injury, lower economic status is significantly associated with unfavorable outcome at three months, independent of other factors”.[1] Focusing on this finding, there are some questions for discussion. Whether this finding indicates the difference in quality of neurosurgery case management is a big question. Indeed, the case with poor underlying socioeconomic status might have poor physiological underlying that lead to poor outcome. However, the question is on the equity of case management. If there is inequity in care provision, it can be a problematic and ethical issue for consideration. In a recent report on following surgical procedure for traumatic injuries, it was reported that “The likelihood of placement in a rehabilitation center was significantly impacted by both race and insurance status”.[2]

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Conflicts of interest

There are no conflicts of interest.

 
  References Top

1.
Dhandapani SS, Manju D, Mahapatra AK. The economic divide in outcome following severe head injury. Asian J Neurosurg 2012;7:17-20.  Back to cited text no. 1
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2.
Heffernan DS, Vera RM, Monaghan SF, Thakkar RK, Kozloff MS, Connolly MD, et al. Impact of socioethnic factors on outcomes following traumatic brain injury. J Trauma 2011;70:527-34.  Back to cited text no. 2
    




 

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