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April 19, 2026Neurosurgery0 citations

Potential Surprise Charges and Avoidable Transfers of Patients With Traumatic Intracranial Hemorrhage at an Academic Care Center

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NBNiall BuckleyEREthan RichmondYYYoungwon Youn

Key Points

  • This research aims to evaluate the financial implications and clinical outcomes of patient transfers related to traumatic intracranial hemorrhage (ICH).
  • Examined financial liabilities from surprise out-of-network charges related to transfers.
  • Analyzed clinical outcomes for PATs with mild traumatic ICH patients.
  • Assessed discharge rates and need for neurosurgical follow-up.
  • PAT traumatic ICH patients had improved clinical outcomes compared to those without PATs.
  • Patients were discharged more quickly and had reduced need for neurosurgical follow-up.
  • Financial liabilities related to out-of-network charges were significant.

Abstract

A subset of adult mild traumatic ICH patients underwent PATs with significant financial liability related to transfer in the form of surprise out-of-network charges. Overall, PAT traumatic ICH patients had better clinical outcomes, were more likely to be rapidly discharged and less likely to require neurosurgical follow-up. In an era of increasing costs and TBI emergency department visits, trauma systems must do more to deliver quality-focused care and contain costs for TBI patients.

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Cite This Study

Buckley et al. (2026) studied this question.

synapsesocial.com/papers/69e472d8010ef96374d8ec22https://doi.org/10.1227/neu.0000000000004054
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