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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