Brain or Spinal Injury Linked to Increased Bankruptcy Rates

October 06, 2007 at 2:54 PM Research News
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Brain or Spinal Injury Linked to Increased Bankruptcy Rates
In addition to neurological damage and disability, survivors of brain or spinal cord injury may face financial disaster, with increased rates of bankruptcy in the years after injury, reports a study in the August issue of Medical Care, published by Lippincott Williams & Wilkins, part of Wolters Kluwer Health, provider of leading healthcare content, context and consulting.

William Hollingworth, PhD, of Harborview Injury Prevention and Research Center at University of Washington, Seattle, identified 6,345 adult residents of western Washington State who were hospitalized with brain or spinal cord injuries from 1991 to 2002. U.S. Bankruptcy Court Records were reviewed to assess how the injury affected the patients' subsequent risk of bankruptcy.

Within five years after brain or spinal cord injury, 3.5 percent of the patients filed for bankruptcy. With adjustment for other factors, the risk of bankruptcy was 33 percent higher after brain or spinal cord injury than in the years before the injury.

Surprisingly, bankruptcy risk was unrelated to the severity of injury. In fact, bankruptcy was somewhat less common for critically injured patients, compared to those with mild injuries. "One potential explanation…is that the financial safety net may be most accessible for patients with the most debilitating injuries," the researchers write.

There was a complex relationship between bankruptcy and insurance status. Absolute bankruptcy rates were twice as high for patients with commercial medical insurance, compared to Medicaid patients. "The high absolute incidence of bankruptcy in commercially-insured patients could be attributable to preinjury wages that allowed them to accumulate mortgages, car loans, and credit card debt," Dr. Hollingworth and colleagues write. "Debts remain postinjury, but the ability to service them recedes due to job loss."

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