title: The economic burden of traumatic brain injury due to fatal traffic accidents in shahid rajaei trauma hospital, shiraz, iran.
abstract: BACKGROUND
  Traumatic Brain Injuries (TBIs) as a result of traffic accidents are one of the major causes of deaths, which lead to the loss of individuals' productive and working years of life.
  
  
  OBJECTIVE
  This study aimed to calculate the economic burden of traumatic brain injuries in fatal crashes at Shahid Rajaei Trauma Hospital, Shiraz, Iran for a period of five years.
  
  
  METHODS
  In this descriptive, cross-sectional study the population included people who had died as a result of TBIs during 2009 to 2013 in Shiraz Shahid Rajaei Trauma Hospital. Cost and demographic data were obtained from the participants' medical records using data gathering forms, and some other information was also collected via telephone calls to the victims' families. Economic burden of TBIs due to traffic accidents, which led to death, was estimated using the human capital as direct costs of treatment, and the number of potential years of life lost and lost productivity as indirect costs.
  
  
  RESULTS
  Deaths resulting from TBIs due to traffic accidents in Shiraz imposed 6.2 billion Rials (511000 USD) of hospital costs, 6390 potential years of life lost, and 506 billion Rials (20 million USD) of productivity lost. In the present study, the mean age of the individuals who died was 38.4 ± 19.41 and the productivity lost per capita was 1.8 billion Rials (73000 USD).
  
  
  CONCLUSIONS
  The findings of this study indicated that the economic burden of TBIs was high in fatal accidents in Fars Province so that it was equivalent to 0.00011% of Iran's Gross Domestic Product (GDP) in 2013. Therefore, more attention has to be paid to the rules to prevent the fatal accidents.
authors.affiliation: Social Determinants of Health Research Center, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, IR Iran.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Kavosi
authors.affiliation: Health Economics Department, School of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, IR Iran.
authors.forename: Abdosaleh
authors.initials: A
authors.lastname: Jafari
authors.affiliation: School of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, IR Iran.
authors.forename: Nahid
authors.initials: N
authors.lastname: Hatam
authors.affiliation: Student Research Committee, School of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, IR Iran.
authors.forename: Meysam
authors.initials: M
authors.lastname: Enaami
keywords: Economic Burden; Potential Years of Life Lost (PYLL); Productivity Lost; Traffic Accidents; Traumatic Brain Injury
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