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October 11, 2000

Rehabilitation for Traumatic Brain Injury

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Executive Deputy EditorIndividualAuthor


Copyright 2000 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2000

JAMA. 2000;284(14):1783-1784. doi:10.1001/jama.284.14.1783

To the Editor: Dr Salazar and colleagues1 raise the issue of cost when comparing the efficacy of intensive inpatient cognitive rehabilitation with a home rehabilitation program for patients with moderate-to-severe head injury. They found no significant differences in a variety of outcome measures, including ability to return to employment, and suggest that inpatient care is 100 times more expensive than home rehabilitation ($51,840 vs $504 per patient). While it is appropriate to highlight the economic dimension of head injury rehabilitation in this context, their estimate is likely to be a gross underestimate.

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