Panamerican Journal of Trauma, Critical Care & Emergency Surgery

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VOLUME 11 , ISSUE 1 ( January-April, 2022 ) > List of Articles


The Overuse and Underuse of Healthcare in Neurotrauma

Yelson AP Jaimes, Ivan D Lozada-Martinez, Berhioska Perez, Alfonso Pacheco-Hernandez, Amit Agrawal

Keywords : Keywords: Brain injuries, Neurocirugía, Traumatic

Citation Information : Jaimes YA, Lozada-Martinez ID, Perez B, Pacheco-Hernandez A, Agrawal A. The Overuse and Underuse of Healthcare in Neurotrauma. Panam J Trauma Crit Care Emerg Surg 2022; 11 (1):56-58.

DOI: 10.5005/jp-journals-10030-1368

License: CC BY-NC 4.0

Published Online: 24-05-2022

Copyright Statement:  Copyright © 2022; The Author(s).


The overuse and underuse of resources in health systems can be a problem for patients with neurotrauma. The associated costs in developed countries (where the problem has been better studied) are immense. The use of inexpensive interventions can be a strategy to optimize healthcare without compromising quality. The fact that a device/strategy is cheaper, in general, is because it is of lower quality or whose therapeutic effects have not been proven in that population. In poor countries, many times they are out of options to use expired drugs or devices in public hospitals. An example is the use of shunts for hydrocephalus or osteosynthesis instruments without certification- risk/benefit, since they are more accessible due to cheaper for the institutions.

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