Sports Monitoring with Moving Aerial Cameras Maybe Cost Efficient For Injury Prevention

Objectives: An Australian access economics report (2009) estimated the lifetime cost of care is 5.0 million for a person whom suffers paraplegia and 9.5 million for quadriplegia, and costs/year are approximately $90,000. Hilton )2018( on drones at sporting venues discusses their potential to revolutionize injury surveillance monitoring via expert exposure gained for recording, investigation, tracking and monitoring of sporting injuries. Hilton (2018) reviewed rugby union and league Australian spinal cord injury datasets, finding more incident cases in the union then league [1]. Methods/Analysis: Wikipedia reports 20 professional rugby union and 26 rugby league playing fields in Australia. The Australian Institute of Health and Welfare document; Australian sports injury hospitalizations 2011–12 report just under 800 head and neck injuries requiring hospitalization related to rugby-related sports “35 neck fractures and 348 head fractures”. Brisbane’s leading drone aerial photography service “Droneworxs” according to previous enquiries by the author charge $650/hour to monitor a sporting event. A crude drone implementation cost estimate, hypothetically is to utilize this device across 46 professional clubs X 52 weeks one hour/week = $1,554,800. A basic hypothetical mathematical cost benefit comparison was performed. Findings: Droneworxs cost divided by healthcare costs/case/year ($90,000) = 17 so if these injuries are prevented then cost equivalence is reached figurately speaking, then cost benefits accrue. Novelty /Improvement: Drones are not overly expensive compared to spinal cord injury costs. The occasional presence of aerial cameras at sporting venues may also deter repeated foul play, in the same way that webcam cameras deter potential thieves.

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Cervical spinal cord injury in rugby union and rugby league: are incidence rates declining in NSW?

Australian and New Zealand Journal of Public Health ◽

10.1111/j.1467-842x.2006.tb00869.x ◽

2006 ◽

Vol 30 (3) ◽

pp. 268-274 ◽

Cited By ~ 16

Author(s):

Jesia G. Berry ◽

James E. Harrison ◽

John D. Yeo ◽

Raymond A. Cripps ◽

Shaun C. R. Stephenson

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Cervical Spinal Cord ◽

Rugby League ◽

Incidence Rates ◽

Rugby Union ◽

Cervical Spinal Cord Injury ◽

Cord Injury

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Linking Spinal Cord Injury Data Sets to Describe the Patient Journey Following Injury: A Protocol

Topics in Spinal Cord Injury Rehabilitation ◽

10.46292/sci20-00016 ◽

2020 ◽

Vol 26 (4) ◽

pp. 232-242

Author(s):

Vanessa K. Noonan ◽

Susan B. Jaglal ◽

Suzanne Humphreys ◽

Shawna Cronin ◽

Zeina Waheed ◽

...

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Administrative Data ◽

Clinical Data ◽

Linked Data ◽

Population Data ◽

Data Sets ◽

Patient Journey ◽

Cord Injury ◽

Incident Cases

Background: To optimize traumatic spinal cord injury (tSCI) care, administrative and clinical linked data are required to describe the patient’s journey. Objectives: To describe the methods and progress to deterministically link SCI data from multiple databases across the SCI continuum in British Columbia (BC) and Ontario (ON) to answer epidemiological and health service research questions. Methods: Patients with tSCI will be identified from the administrative Hospital Discharge Abstract Database using International Classification of Diseases (ICD) codes from Population Data BC and ICES data repositories in BC and ON, respectively. Admissions for tSCI will range between 1995–2017 for BC and 2009-2017 for ON. Linkage will occur with multiple administrative data holdings from Population Data BC and ICES to create the “Admin SCI Cohorts.” Clinical data from the Rick Hansen SCI Registry (and VerteBase in BC) will be transferred to Population Data BC and ICES. Linkage of the clinical data with the incident cases and administrative data at Population Data BC and ICES will create subsets of patients referred to as the “Clinical SCI Cohorts” for BC and ON. Deidentified patient-level linked data sets will be uploaded to a secure research environment for analysis. Data validation will include several steps, and data analysis plans will be created for each research question. Discussion: The creation of provincially linked tSCI data sets is unique; both clinical and administrative data are included to inform the optimization of care across the SCI continuum. Methods and lessons learned will inform future data-linking projects and care initiatives.

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Spinal cord injury—A cost benefit analysis of alternative treatment modals

Spinal Cord ◽

10.1038/sc.1974.36 ◽

1974 ◽

Vol 12 (3) ◽

pp. 222-231 ◽

Cited By ~ 5

Author(s):

Edgar D Charles ◽

Joseph G Van Matre ◽

John M Miller

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Alternative Treatment ◽

Cost Benefit Analysis ◽

Cost Benefit ◽

Benefit Analysis ◽

Cord Injury

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What to know in Managing Spinal Cord Injury for Anesthesiologists?

10.25259/aujmsr_30_2020 ◽

2020 ◽

Vol 2 ◽

pp. 89-93

Author(s):

Charles Charles

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Neurological Disorders ◽

Spinal Cord Injuries ◽

Spinal Nerve ◽

Cost Of Care ◽

Nerve Tissue ◽

Cord Injury ◽

The Cost ◽

Very High

Background: Spinal cord injury (SCI) is trauma to the area of the vertebrae resulting in spinal cord lesions resulting in neurological disorders, depending on the location of the spinal nerve damage and the injured nerve tissue. The symptoms of SCI can range from pain and paralysis to incontinence. SCI due to trauma is estimated to occur in 30–40 per million population per year, and about 8000–10,000 sufferers each year, generally, occurs in adolescents and young adults. Although the annual incidence of events is relatively low, the cost of care and rehabilitation for spinal cord injuries is very high, at around US $ 53,000/patient. Methods: This study aims to provide an overview of how to manage SCI. This study reviewed various sources then reviewed as a literature review. Conclusion: Treatment in the hospital includes all systems that may experience complications from SCI, starting from the respiratory, cardiovascular, urological, gastrointestinal, skin, to non-operative. and operative reduction measures.

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P.220 Mechanism of injury is associated with neurological outcomes in cervical sensorimotor complete traumatic spinal cord injury

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques ◽

10.1017/cjn.2021.335 ◽

2021 ◽

Vol 48 (s3) ◽

pp. S83-S83

Author(s):

AB Bak ◽

A Moghaddamjou ◽

M Fehlings

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Spinal Injury ◽

Significant Proportion ◽

Sports Injury ◽

Neurological Recovery ◽

Traumatic Spinal Cord Injury ◽

Significant Heterogeneity ◽

Mechanism Of Injury ◽

Cord Injury

Background: There is significant heterogeneity in neurological recovery after complete (ASIA A) traumatic spinal cord injury (tSCI). Neurological recovery is often associated with a conversion to a higher letter grade of the American Spinal Injury Association’s impairment scale (ASIA). The mechanism of injury (MOI) may play a significant role in the primary injury and should be considered for greater precision in care. Methods: We isolated ASIA A cervical tSCI patients from three multicenter prospective randomized controlled trials (NACTN, STASCIS, Sygen). Chi-square test with pairwise comparisons with Bonferroni corrections was performed to compare the proportion of ASIA A patients that converted to a higher ASIA grade between different MOI. Results: We identified 486 complete cervical tSCI patients. For patients who developed tSCI as a result of a fall, a significant proportion converted to a higher ASIA grade by 52 weeks (p = 0.009). For patients who developed tSCI as a result of a sports injury, a significantly smaller proportion did not convert to a higher ASIA grade compared to those that converted (p = 0.034). Conclusions: Due to the difference in outcomes, tSCI patients should be treated differently depending on their mechanism of injury.

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A scoping review on health economics in neurosurgery for acute spine trauma

Neurosurgical FOCUS ◽

10.3171/2018.2.focus17778 ◽

2018 ◽

Vol 44 (5) ◽

pp. E15 ◽

Cited By ~ 4

Author(s):

Brian C. F. Chan ◽

B. Catharine Craven ◽

Julio C. Furlan

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Surgical Treatment ◽

Literature Search ◽

Pedicle Screws ◽

Cost Benefit ◽

Direct Costs ◽

Cost Utility ◽

Spine Trauma ◽

Cord Injury

OBJECTIVEAcute spine trauma (AST) has a relatively low incidence, but it often results in substantial individual impairments and societal economic burden resulting from the associated disability. Given the key role of neurosurgeons in the decision-making regarding operative management of individuals with AST, the authors performed a systematic search with scoping synthesis of relevant literature to review current knowledge regarding the economic burden of AST.METHODSThis systematic review with scoping synthesis included original articles reporting cost-effectiveness, cost-utility, cost-benefit, cost-minimization, cost-comparison, and economic analyses related to surgical management of AST, whereby AST is defined as trauma to the spine that may result in spinal cord injury with motor, sensory, and/or autonomic impairment. The initial literature search was carried out using MEDLINE, EMBASE, CINAHL, CCTR, and PubMed. All original articles captured in the literature search and published from 1946 to September 27, 2017, were included. Search terms used were the following: (cost analysis, cost effectiveness, cost benefit, economic evaluation or economic impact) AND (spine or spinal cord) AND (surgery or surgical).RESULTSThe literature search captured 5770 titles, of which 11 original studies met the inclusion/exclusion criteria. These 11 studies included 4 cost-utility analyses, 5 cost analyses that compared the cost of intervention with a comparator, and 2 studies examining direct costs without a comparator. There are a few potentially cost-saving strategies in the neurosurgical management of individuals with AST, including 1) early surgical spinal cord decompression for acute traumatic cervical spinal cord injury (or traumatic thoracolumbar fractures, traumatic cervical fractures); 2) surgical treatment of the elderly with type-II odontoid fractures, which is more costly but more effective than the nonoperative approach among individuals with age at AST between 65 and 84 years; 3) surgical treatment of traumatic thoracolumbar spine fractures, which is implicated in greater direct costs but lower general-practitioner visit costs, private expenditures, and absenteeism costs than nonsurgical management; and 4) removal of pedicle screws 1–2 years after posterior instrumented fusion for individuals with thoracolumbar burst fractures, which is more cost-effective than retaining the pedicle screws.CONCLUSIONSThis scoping synthesis underscores a number of potentially cost-saving opportunities for neurosurgeons when managing patients with AST. There are significant knowledge gaps regarding the potential economic impact of therapeutic choices for AST that are commonly used by neurosurgeons.

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Direct Cost of Illness for Spinal Cord Injury: A Systematic Review

Global Spine Journal ◽

10.1177/21925682211031190 ◽

2021 ◽

pp. 219256822110311

Author(s):

Hamid Malekzadeh ◽

Mahdi Golpayegani ◽

Zahra Ghodsi ◽

Mohsen Sadeghi-Naini ◽

Mohammadhossein Asgardoon ◽

...

Keyword(s):

Systematic Review ◽

Spinal Cord ◽

Spinal Cord Injury ◽

Acute Care ◽

Cost Of Illness ◽

Inpatient Rehabilitation ◽

Cost Of Care ◽

Service Planning ◽

First Year ◽

Cord Injury

Study Design: Systematic review. Objective: Providing a comprehensive review of spinal cord injury cost of illness studies to assist health-service planning. Methods: We conducted a systematic review of the literature published from Jan. 1990 to Nov. 2020 via Pubmed, EMBASE, and NHS Economic Evaluation Database. Our primary outcomes were overall direct health care costs of SCI during acute care, inpatient rehabilitation, within the first year post-injury, and in the ensuing years. Results: Through a 2-phase screening process by independent reviewers, 30 articles out of 6177 identified citations were included. Cost of care varied widely with the mean cost of acute care ranging from $290 to $612,590; inpatient rehabilitation from $19,360 to $443,040; the first year after injury from $32,240 to $1,156,400; and the ensuing years from $4,490 to $251,450. Variations in reported costs were primarily due to neurological level of injury, study location, methodological heterogeneities, cost definitions, study populations, and timeframes. A cervical level of the injury, ASIA grade A and B, concomitant injuries, and in-hospital complications were associated with the greatest incremental effect in cost burden. Conclusion: The economic burden of SCI is generally high and cost figures are broadly higher for developed countries. As studies were only available in few countries, the generalizability of the cost estimates to a regional or global level is only limited to countries with similar economic status and health systems. Further investigations with standardized methodologies are required to fill the knowledge gaps in the healthcare economics of SCI.

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