Direct, indirect, and intangible costs after severe trauma up to occupational reintegration – an empirical analysis of 113 seriously injured patients

Anders, Benjamin; Ommen, Oliver; Pfaff, Holger; Lüngen, Markus; Lefering, Rolf; Thüm, Sonja; Janßen, Christian

doi:10.3205/psm000092

Cited by 11 publications

(4 citation statements)

References 42 publications

(60 reference statements)

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“…Anders et al[ 27 ] reported that the average ISS was 19.2 due to work accidents. Celik et al[ 18 ] reported that the average ISS was 9.79±8.1 in work-related injuries.…”

Section: Discussionmentioning

confidence: 99%

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Analysis of Injuries and Deaths by Trauma Scores due to Occupational Accidents

Hösükler¹

2022

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: This study was aimed to evaluate the injury characteristics, causes, results, and hospital charges in cases of occupational accidents that were reported to judicial authorities using trauma scores. METHODS: The study was performed after obtaining permission from the judicial authorities and approval from the local ethics committee. All occupational accident cases that were reported to the judicial authorities in Bolu Province between 2015 and 2019 were included in the study. The groups were compared with the Chi-Square test, Mann-Whitney U Test, and the Kruskal-Wallis Test. P<0.05 was considered statistically significant. RESULTS: This study included 3599 cases. The majority of the cases (74.70%) were male, with a mean age of 34.90±10.50 years. Occupational accidents occurred most frequently between 8 and 16 h (n=1982; 55.10%), on Friday (n=595, 16.53%), in April (n=356; 9.89%), and in spring (n=971; 26.98%). Occupational accident-related death occurred in 29 cases (0.8%). The most common injury due to occupational accidents occurred in the food industry (n=1256, 34.90%). Blunt object injury (n=1112, 30.90%) was the most common type of occupational accident; and the upper extremity (n=2049, 54.93%) was the most common injury localization. The mean Abbreviated Injury Scale of the cases was 0.94±0.74, the mean Injury Severity Score (ISS) was 1.79±4.47, and the mean New-Injury Severity Score (NISS) was 2.11±5.28. The means of ISS and NISS were statistically significantly higher for males, life-threatening injuries, work accidents in the Construction and Agriculture-Forestry sectors, fall from height, traffic accidents, and caught-in-machinery. The total hospital charge was 1,351,339.10 TL and its average was 380.30±2418.90 TL. The mean of treatment costs was significantly higher in the agriculture-forestry and construction sectors. CONCLUSION: The evaluation of all occupational accidents that are submitted to the jurisdiction on a provincial basis may provide more useful information in the prevention of work accidents. The use of trauma scores in the evaluation of occupational accidents is a useful argument for understanding the sectors and injury types that cause severe trauma. Furthermore, trauma scores may be an important predictor of hospital costs.

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“…Anders et al[ 27 ] reported that the average ISS was 19.2 due to work accidents. Celik et al[ 18 ] reported that the average ISS was 9.79±8.1 in work-related injuries.…”

Section: Discussionmentioning

confidence: 99%

“…Anders et al[ 27 ] calculated that the average direct cost per patient in severe trauma was €35,661. Macdonald et al[ 8 ] estimated the total cost of patients hospitalized in the trauma unit with work-related injuries to be approximately 326.110 GBP.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Injuries and Deaths by Trauma Scores due to Occupational Accidents

Hösükler¹

2022

Ulus Travma Acil Cerrahi Derg

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“…Other examples not related to specific diseases but affecting the costs of care are described in studies using HCA. For example, although patients with injuries from an accident represent a significant medical and socio-economic bur-den in the German healthcare system, there are few data describing costs in the period between the accident and the professional reintegration (Anders et al, 2013), so the analysis can only be considered a starting point for further studies. This might be a framework where the application of FC could be, indeed, evalutated.…”

Section: The Literature Contributions For Western Europementioning

confidence: 99%

Approaches to Estimating Indirect Costs in Healthcare: Motivations for Choice

Mennini

Gitto

2022

JEE

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When performing health economic evaluations all costs and expected benefits (in terms of clinical effectiveness, utility, monetary benefits) should be taken into account. Costs are direct and indirect: concerning the latter, two main methods have been developed. The Human Capital Approach (HCA) considers the gross salary in the days of absence from work due to illness; the method based on the Friction Costs (FC), instead, considers equally the value of productivity, but the losses are limited to the period of illness when it is necessary to replace the absent worker. This paper conducts a review of the literature contributions for European countries and aims at identifying common trends within geographical areas. Estimation of indirect costs in different European areas may reflect the real cost of health services across countries and schematize the conditions under which a certain method should be preferred. Overall, cost analyses applying HCA are the most frequent, while studies based on FC are more common in the Netherlands, where this method had been developed. The reasons to apply HCA or FC may depend on the institutional context, for example, the flexibility in the job market, and the epidemiologic environment.

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“…Thus, the reduction of accidents is increasingly crucial as it can impact not only the well-being of employees but also impose a financial burden on companies. When considering direct and indirect costs, the average cost of an accident in Germany amounts to €44,919 (Anders et al 2013). Indirect expenses of an industrial injury can include lost output, downtime, replacement workers, and legal fees.…”

Section: Introductionmentioning

confidence: 99%

Improvement of Occupational Safety: Investigation on the correlation of Ergonomic Conditions on Workplace Accidents in the automotive industry

2023

Proceedings of the XXXVth Annual International Occupational Ergonomics and Safety Conference

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This quantitative study aims to investigate a possible link between improving the ergonomic conditions at the workplace and reducing the number of accidents. The study will be based on a review of accident reports and using an ergonomic assessment tool to collect relevant data. To ensure the reliability of the individual variables, they were tested for multicollinearity. It was investigated which factors correlate with one another using a correlation matrix. Three of the original seven variables were found to have substantial multicollinearity. These three variables were eliminated from the data to decrease multicollinearity and increase the stability of the data analysis. Using a linear regression model without a constant term is justified. A model reliability of over 60% was achieved by identifying four significant variables and choosing the correct model approach. Thus, this work provides the first approach in the automotive industry to demonstrate that ergonomic evaluation of workstations impacts accident frequency. The results show parallels with existing studies in the literature, even though the study relates to a different industry.

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Direct, indirect, and intangible costs after severe trauma up to occupational reintegration – an empirical analysis of 113 seriously injured patients

Cited by 11 publications

References 42 publications

Analysis of Injuries and Deaths by Trauma Scores due to Occupational Accidents

Analysis of Injuries and Deaths by Trauma Scores due to Occupational Accidents

Approaches to Estimating Indirect Costs in Healthcare: Motivations for Choice

Improvement of Occupational Safety: Investigation on the correlation of Ergonomic Conditions on Workplace Accidents in the automotive industry

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