TAO Tiejun 12 , LI Youping 13 , KUANG Pu 2 , WANG Li 1 , XIONG Ying 12 , CAI Yujia 1
  • 1. Chinese Cochrane Centre; West China Hospital; Sichuan University; Chengdu 610041; China2. West China school of clinical medicine; Sichuan University; Chengdu 610041; China3. The Key Lab of Transplant engineering and transplantation immunology of MOH; West China Hospital; Sichuan University; Chengdu 610041; China;
Brain death; End-of-life care; Cost analysis; Health technology assessment
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Objective 　To investigate present status of health care in peri-brain-death and analyze its effectiveness and health economic characteristics.
Method 　Retrospective analysis of case series was conducted and a total of 940 patients from surgical intensive care unit (SICU) were reviewed on treatment and part of direct medical expenditure. The patients admitted from Jun. 1999 to Dec. 2000 and Nov. 2001 to Jun. 2002 were included in this study. Data were processed by SPSS 10.0.
Results 　Patients were included if they had two of the three symptoms for at least one hour: deep coma, pupillar light reflex disappear, and no autonomic respiratory. Ultimately 115 patients were included, with a total cost of ￥2 515.9 per day for each case, whereas mortality was 99.10%. Mortality increased with the state of peri-brain-death prolonged. Eighty percent of patients included were dead within 72 hours after admission.
Conclusions 　Attempts to resuscitate patients of peri-brain-death have been the most widely applied in China, however, it resulted in great unnecessary consumption of health resources. It is of great importance to promote legislation of brain death in China.

Citation： TAO Tiejun,LI Youping,KUANG Pu,WANG Li,XIONG Ying,CAI Yujia. Health Technology Assessment of End-of-Life Care Ⅰ. The Present Status and Cost Analysis of Health Care in Peri-brain-death. Chinese Journal of Evidence-Based Medicine, 2004, 04(1): 29-35. doi: Copy