ArticleJournal of market access & health policy2026
A Decision Tree Cost Analysis of Intracranial Bleed Detection Using a Near-Infrared Device Across Various Healthcare Levels.
Article in Journal of market access & health policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Traumatic brain injury (TBI), mainly caused by road traffic accidents, is a serious global public health concern. Computed tomography (CT) is the best way to detect intracranial haemorrhage (ICH), but it is not always feasible because it is hard to access, exposes people to radiation, and is expensive, especially in low- and middle-income countries. Portable near-infrared spectroscopy (NIRS) devices offer a non-invasive, point-of-care option for early detection of ICH. The objectives of this study were to estimate the cost per case detected for patients with mild-to-moderate TBI, to estimate incremental cost and to perform a budget impact analysis to assess the financial feasibility of implementing this technology. This study employed a decision tree model from a health system perspective to calculate the cost per detected case and the incremental cost of NIRS across three tiers of care: ambulances, community health centres (CHCs), and tertiary hospitals. The cost per mild-to-moderate TBI case found was Rs. 2177.90 in ambulances, Rs. 748.09 in CHCs, and Rs. 628.14 in tertiary hospitals. The extra cost per patient was Rs. 984.15, Rs. 360.90, and Rs. 289.78, respectively. At the system level, NIRS raised the total costs for 264 ambulance patients from Rs. 37.71 lakh to Rs. 40.31 lakh and for 858 CHC patients from Rs. 115.64 lakh to Rs. 118.73 lakh. National extrapolation indicates a first-year budgetary impact of approximately Rs. 442 crores for ambulances and Rs. 187 crores for CHCs. These results support the strategic, phased implementation of NIRS to use resources better and improve early diagnosis of TBI.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.