Sharova E.A., Valiullina S.A.
Clinical and Research Institute of Urgent Pediatric Surgery and Trauma, Moscow Healthcare Department, Moscow

Contacts: Elizaveta A. Sharova, This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. Background. Calculation of demographic loss due to premature mortality in children caused by traumatic brain injury as well as its economic equivalent is important for projecting population loss and demand for resources. Calculations should be based on data of epidemiological studies that are implemented with due regard to gender, age, regional and other peculiarities.

The purpose of the present study is to analyze epidemiological peculiarities of mortality due to traumatic brain injury in pediatric population as well as to assess associated social and economic loss.

Methods: The authors studied basic tendencies in pediatric mortality caused by head injury for 2003-2012 based on the state statistical reporting as well as analyzed social and economic loss caused by premature mortality in children.

Results: In 2003-2012, Russia witnessed a permanent decrease in mortality rates in children aged 0-17 due to traumatic brain injury especially in boys. However, the share of children under one year in this mortality structure increased twofold.

By 2012, the regional picture of pediatric mortality due to traumatic brain injury remained unchanged (r=0.9, p≤0.05). Cities with federal status and the Northwestern Federal District fall within the area with decreased pediatric mortality, while the Far Eastern and Siberian Federal Districts constitute the area with increased pediatric mortality. By 2012, social loss due to premature mortality caused by traumatic brain injury in children decreased twofold because of a significant reduction in traumatic brain injury deaths in children.

By 2012, economic loss due to premature pediatric mortality caused by traumatic brain injury increased by 1.7 times adding up to 27 billion rubles. Most significant values of economic loss were registered in the Far Eastern, South and Siberian Federal Districts - the regions with the least contribution to the gross regional product of the Russian Federation.

Conclusions. Registered in 2003-2012 decrease in pediatric mortality due to traumatic brain injury resulted in double reduction of the associated social loss. However, associated economic loss increased by 1.7 times due to increased “economic value” of one year of life lost due to premature death.

Therefore, compensating the loss due to premature pediatric mortality caused by traumatic brain injury is a relative objective of the Russian healthcare system especially in such federal districts as the Far Eastern, South and Siberian Federal Districts. Preserving future workforce in Russia through decreasing social and economic loss due to pediatric mortality caused by traumatic brain injury constitutes a considerable reserve to increase social and financial wellbeing of the region and absolute value of its gross regional product that, in the long run, affects the general situation in Russia.

Keywords: brain trauma injury; children; mortality; economic loss; epidemiologic peculiarities; social loss.

References

1. Doklad o realizatsii Programmy gosudarstvennykh garantiy okazaniya grazhdanam Rossiyskoy Federatsii besplatnoy meditsinskoy pomoshchi v 2012 godu.. [Report on the implementation of the Program of state guarantees for delivering free medical care to the citizens of the Russian Federation in 2012]. [Online] [cited 2015 Jan 15]. Available from: http://www.rosminzdrav.ru/news/2013/07/03/1603 (In Russian).
2. Kovaleva T.Yu. Otsenka izmeneniy otraslevoy i regional'noy struktury VRP po vidam ekonomicheskoy deyatel'nosti i federal'nym okrugam [Assessment of changes in the sectoral and regional structure of GRP by economic activity and the federal districts]. Problemy sovremennoy ekonomiki [serial online] 2009 [cited 2014 Dec 15]; 1(29). Available from: http://www.m-economy.ru/art.php?nArtId=2459 (in Russian).
3. Kurdyukov S.I. Tendentsii razvitiya ekonomiki Rossii. [Trends in the development of the Russian economy]. Upravlenie ekonomicheskimi sistemami [serial online] 2011 [cited 2014 Dec 15]; 4(28). Available from: http://www.uecs.ru/uecs-28-282011/item/404-2011-04-25-08-53-23 (in Russian).
4. Metodika izmereniya DALY. Ofitsial'nyy sayt Vsemirnoy organizatsii zdravookhraneniya. [DALY measurement technique. World Health Organization official site]. [Online] [cited 2014 Dec 10]. Available from: http://www.who.int/healthinfo/global_burden_disease/metrics_daly/en/#. (In Russian).
5. Morev M.V., Lyubov E.B. Sotsial'no-ekonomicheskiy ushcherb vsledstvie smertnosti naseleniya ot samoubiystv [Socioeconomic damage due to mortality from suicide]. Ekonomicheskie i sotsial'nye peremeny: fakty, tendentsii, prognoz 2011; 6(18): 119-11. (In Russian).
6. Federal'naya sluzhba gosudarstvennoy statistiki [Federal State Statistics Service]. [Online] [cited 2015 Feb 15]. Available from: http://www.gks.ru/bgd/regl/b14_14p/Main.htm (in Russian).
7. Shabunova A.A., Kalashnikov K.N. Ekonomicheskaya otsenka poter' trudovogo potentsiala naseleniya. [Economic evaluation of losses in labor potential of the population]. Ekonomicheskie i sotsial'nye peremeny: fakty, tendentsii, prognoz 2008; 4(4): 53-7.(In Russian).
8. Shmakov D.I. Otsenka ekonomicheskogo ushcherba ot poter' zdorov'ya naseleniya Rossii i ee regionakh [Assessment of the economic damage caused by population health losses in Russia and its regions]. Cand. Oec.Sci [thesis]. Moscow. 2004. 24 p. (In Russian).
9. Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJL, editors. Global Burden of Disease and Risk Factors. World Bank: Oxford University Press USA; 2006. 552 p.

Write Comment

Please keep the topic of messages relevant to the subject of the article. Personal verbal attacks will be deleted. Please don't use comments to plug your web site. Such material will be removed. Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button. Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:
Code:*