Mortality and treatment cost estimates for 1075 consecutive patients treated by a regional adult burn service over a five year period: The Liverpool experience

Jeevan, Ranjeet; Rashid, Asrar; Lymperopoulos, N.S.; Wilkinson, Donnas; James, M.I.

doi:10.1016/j.burns.2013.11.020

Cited by 19 publications

(14 citation statements)

References 29 publications

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“…''Pneumonia'' (15), b u r n s 4 1 ( 2 0 1 5 ) 2 2 5 -2 3 4 ''multi organ failure'' (MOF) (20) and ''burns'' (20) were the immediate cause of death in half of the 110 deaths in RBS hospitals. ''Inhalation of products of combustion'' (65), ''inhalation of products of combustion and burns'' (14) and ''electrocution'' (15) were the most frequent causes of immediate death at the victim's residence. In GHs ''inhalation of products of combustion'' (24) and ''burns'' (12) caused more than half the deaths.…”

Section: Cause Of Deathmentioning

confidence: 99%

“…The 11-year study period showed a significant reducing trend in ''burns'' (r = À0.28, p = 0.001), ''pneumonia'' (r = À0.16, p = 0.01) and a significant increasing trend in ''electrocution'' (r = 0.15, p = 0.02) as immediate causes of death. ''Pneumonia'' (15), b u r n s 4 1 ( 2 0 1 5 ) 2 2 5 -2 3 4 ''multi organ failure'' (MOF) (20) and ''burns'' (20) were the immediate cause of death in half of the 110 deaths in RBS hospitals. ''Inhalation of products of combustion'' (65), ''inhalation of products of combustion and burns'' (14) and ''electrocution'' (15) were the most frequent causes of immediate death at the victim's residence.…”

Section: Cause Of Deathmentioning

confidence: 99%

“…There are few reports in the literature of recent mortality data from the UK. The reports that do exist represent the survival statistics of individual burn services [11][12][13][14][15]. These descriptions have been important in documenting the improved survival associated with burns presenting to specialised services but have failed to look at the totality of burn mortality, i.e.…”

Section: Introductionmentioning

confidence: 99%

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Burn related mortality in Greater Manchester: 11-year review of Regional Coronial Department Data

Hussain¹,

Dunn²

2015

Burns

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Section: Cause Of Deathmentioning

confidence: 99%

Section: Cause Of Deathmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Burn related mortality in Greater Manchester: 11-year review of Regional Coronial Department Data

Hussain¹,

Dunn²

2015

Burns

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“…In several countries, there is a considerable increase in the incidence of burns, so that necessary treatment has generated increasing costs that impact the management of hospital organizations (1)(2)(3)(4)(5)(6) . In Brazil, there are only few units specialized in caring for burned patients and since most of them are in the Southeast Region, most treatments are performed in general hospitals (7) .…”

Section: Introductionmentioning

confidence: 99%

“…Technological advance has led to an expansion of treatment possibilities in face of the complexity of the assistance required by major burn patients and, consequently, there is an increase in the consumption of resources of limited availability. There is still a scarcity of studies on health costs, mainly regarding hospital costs of the procedures performed on severely burned patients in the Intensive Care Unit (ICU) (2,(4)(5)(6) . In this context, nursing professionals stand out for using many resources, especially materials, since they develop their work process in uninterrupted contact with these patients for 24 hours.…”

mentioning

confidence: 99%

Cost of nursing most frequent procedures performed on severely burned patients

Melo

Lima

2017

Rev. Bras. Enferm.

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Objective: to identify the mean direct cost (MDC) of the most frequent procedures performed by nursing professionals on severely burned patients in an Intensive Care Unit. Method: exploratory-descriptive quantitative single-case study. The MDC was calculated by multiplying time (timed) spent by nursing professionals in the performance of the procedures by the unit cost of direct labor, and adding the costs of material and medicine/solutions. Results: a MDC of US$ 0.65 (SD=0.36) was obtained for "vital signs monitoring"; US$ 10.00 (SD=24.23) for "intravenous drug administration"; US$ 5.90 (SD=2.75) for "measurement of diuresis"; US$ 0.93 (SD=0.42) for "capillary blood glucose monitoring"; and US$ 99.75 (SD=129.55) for "bandaging". Conclusion: the knowledge developed can support managerial decision-making, contribute to the effi ciency distribution of the resources involved and, when possible, provide cost-containment or cost-minimization strategies without impairing the quality of nursing care. Descriptors: Burn Units; Burns; Nursing; Critical Care Nursing; Costs and Cost Analysis. RESUMO Objetivo: identifi car o custo direto médio (CDM) dos procedimentos realizados, com maior frequência, por profi ssionais de enfermagem, em uma Unidade de Terapia Intensiva, aos pacientes grandes queimados. Método: pesquisa quantitativa, exploratório-descritiva, do tipo estudo de caso único. O CDM foi calculado multiplicando-se o tempo (cronometrado) despendido por profi ssionais de enfermagem na execução dos procedimentos, objeto de estudo, pelo custo unitário da mão de obra direta, somando-se ao custo dos materiais e soluções/medicamentos. Resultados: obteve-se o CDM de US$ 0.65 (SD=0.36) para "controle dos sinais vitais"; US$ 10.00 (SD=24.23) para "administração de medicamentos via intravenosa"; US$ 5.90 (SD=2.75) para "mensuração de diurese"; US$ 0.93 (SD=0.42) para "verifi cação de glicemia capilar"; e US$ 99.75 (SD=129.55) para "curativo". Conclusão: o conhecimento desenvolvido pode fundamentar as tomadas de decisão gerenciais subsidiando a efi ciência alocativa dos recursos envolvidos e, quando possível, indicar estratégias de contenção/minimização de custos sem prejuízos à qualidade da assistência de enfermagem. Descritores: Unidades de Queimados; Queimaduras; Enfermagem; Enfermagem de Cuidados Críticos; Custos e Análise de Custo. RESUMENObjetivo: identifi car el costo directo promedio (CDP) de los procedimientos más frecuentes que realizan los profesionales de enfermería en una unidad de Terapia Intensiva al paciente gran quemado. Método: investigación científi ca cuantitativa, exploratoria y descriptiva, de caso único. El CDP se calculó multiplicando el tiempo (cronometrado) empleado por profesionales de enfermería en la ejecución de los procedimientos, objeto de estudio, por el costo unitario de la mano de obra directa, sumando el costo de los materiales y soluciones/medicamentos. Resultados: se obtuvo el CDP de US$ 0.65 (SD=0.36) para el "control de las señales vitales"; US$ 10.00 (SD=24.23) para la "administ...

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Quantifying the clinical and economic burden of desquamating dermatological conditions: Implications for a supraregional burns centre

Jovic,

Watson,

Gorse

et al. 2024

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Mortality and treatment cost estimates for 1075 consecutive patients treated by a regional adult burn service over a five year period: The Liverpool experience

Cited by 19 publications

References 29 publications

Burn related mortality in Greater Manchester: 11-year review of Regional Coronial Department Data

Burn related mortality in Greater Manchester: 11-year review of Regional Coronial Department Data

Cost of nursing most frequent procedures performed on severely burned patients

Quantifying the clinical and economic burden of desquamating dermatological conditions: Implications for a supraregional burns centre

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