The burden of the injury: A broad perspective on outcome and costs

Research output: Types of ThesisDoctoral ThesisInternal

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Injuries represent a significant public health concern worldwide, contributing to approximately 9% of global deaths annually and resulting in over 5 million fatalities each year. Despite advances in trauma care that have improved survival rates, individuals often face short and long-term challenges following injury, including physical, mental, cognitive, and social difficulties. Moreover, injuries impose a substantial economic burden on society. To comprehensively understand the effects of injuries, a multidimensional research approach is crucial, examining non-fatal outcomes and their interconnections. This approach enhances our understanding of how injuries impact both individuals and society, ultimately improving care and optimizing support for recovery.

This thesis investigates patient-reported outcomes and healthcare utilization following injuries in Part I, and explores the economic implications of injuries in Part II. Part I assesses outcomes in the general injury population and traumatic brain injury (TBI) population, highlighting the prevalence of physical and mental health outcomes and the impact of mental health and post-concussion symptoms on health-related quality of life (HRQoL), healthcare utilization, and return to work. In Part II, the economic burden of injury is studied, revealing significant variability in healthcare and productivity costs across injury severity, age groups, and road user types. Notably, healthcare and productivity costs were influenced by determinants such as injury severity, age, gender, and pre-existing chronic conditions. These findings underscore the importance of considering long-term consequences and associated costs for rehabilitation and lost productivity.
Original languageEnglish
Awarding Institution
  • Erasmus University Rotterdam
  • Polinder, Suzanne, Supervisor
  • Haagsma, Juanita, Co-supervisor
Award date21 May 2024
Place of PublicationRotterdam
Print ISBNs978-94-6469-874-9
Publication statusPublished - 21 May 2024


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