Reduced Length of Stay in Hospital for Burn Patients Following a Change in Practice Guidelines

Jansen, Leigh A.; Hynes, Sally; Macadam, Sheina A.; Papp, Anthony

doi:10.1097/bcr.0b013e31824d1acb

Cited by 28 publications

(16 citation statements)

References 17 publications

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“…38 A breakdown of the expenses showed that the largest part of the total cost in our study, 61%, was caused by inpatient treatment, followed by surgery 22%. 38 A breakdown of the expenses showed that the largest part of the total cost in our study, 61%, was caused by inpatient treatment, followed by surgery 22%.…”

Section: Discussionmentioning

confidence: 57%

Treatment of Patients With Severe Burns—Costs and Health-Related Quality of Life Outcome

Koljonen

Laitila

Rissanen

et al. 2013

Journal of Burn Care & Research

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To study the effectiveness of the treatment of patients with severe burns, the authors collected health-related quality of life (HRQoL) data with the 15D instrument, 17 to 29 months after treatment had commenced at the national burns unit. The costs of each patient's secondary care treatment were followed for a mean of 66 months. During the 1-year study period, 107 patients were treated at the burns unit, eight for scar surgery, the remainder for primary treatment of a burn injury; 19 had died or could not be located during the time of the HRQoL survey. Of the remaining 88 patients, 43 (49%; mean [SD] age 45.7 [14.8] years; 70% men) returned the questionnaire. Their mean (SD) HRQoL score (0.909[0.113]) was only slightly, and not significantly, lower than that of the age- and sex- standardized general population (0.928[0.080]). The mean (SD) secondary care cost of burn treatment of for all the 107 patients, over the 60- to 72-month observation time, was 42,838 USD (73,569 USD; range 1319-34,8741 USD). The largest portion of the total cost was because of inpatient treatment (61%) followed by operations (22%), and outpatient visits. In addition to the costs of burns treatment, the patients consumed other secondary care services to a value of nearly 12,229 USD. The HRQoL in patients treated for severe burns is good, thus the observed high-treatment costs can be considered acceptable.

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Section: Discussionmentioning

confidence: 57%

Treatment of Patients With Severe Burns—Costs and Health-Related Quality of Life Outcome

Koljonen

Laitila

Rissanen

et al. 2013

Journal of Burn Care & Research

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“…The mean total healthcare cost per burn patient (85 studies) was $76,497 (range of $102–$717,306; median of $36,696) . The range includes costs in different market economies and healthcare settings, and the majority of studies calculated acute burn hospitalization costs only.…”

Section: Resultsmentioning

confidence: 99%

“…Healthcare costs of burn patients in high-income countries (converted to US dollars, 2012) ,29,31,38,41,42,47,[49][50][51]55,57,60,64,72,75,83,87,99,103,122,135,140,141,146,148 …”

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confidence: 99%

Costs of burn care: A systematic review

Hop

Polinder

Vlies

et al. 2014

Wound Repair Regeneration

135

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Burn care is traditionally considered expensive care. However, detailed information about the costs of burn care is scarce despite the increased need for this information and the enhanced focus on healthcare cost control. In this study, economic literature on burn care was systematically reviewed to examine the problem of burn-related costs. Cost or economic evaluation studies on burn care that had been published in international peer-reviewed journals from 1950 to 2012 were identified. The methodology of these articles was critically appraised by two reviewers, and cost results were extracted. A total of 156 studies met the inclusion criteria. Nearly all of the studies were cost studies (n = 153) with a healthcare perspective (n = 139) from high-income countries (n = 127). Hospital charges were often used as a proxy for costs (n = 44). Three studies were cost-effectiveness analyses. The mean total healthcare cost per burn patient in high-income countries was $88,218 (range $704-$717,306; median $44,024). A wide variety of methodological approaches and cost prices was found. We recommend that cost studies and economic evaluations employ a standard approach to improve the quality and harmonization of economic evaluation studies, optimize comparability, and improve insight into burn care costs and efficiency.

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“…We failed to detect any significant difference between the cost of care of patients managed surgically versus non-surgically ( p = 0.206). Jansen et al (2012), however, reported that early surgery allowed cost saving by decreasing the duration of hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological and cost analysis of burn injuries admitted to the emergency department of a tertiary burn center

et al. 2016

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BackgroundBurn injury is an emergency medical condition that rapidly develops as a result of tissue exposure to electrical, chemical or thermal energy. Therefore, its treatment usually begins at the emergency department. In this study we aimed to perform an epidemiological analysis of burn injuries presenting to the emergency department of a tertiary burn center, and factors affecting the cost of their medical care.MethodsPatients who presented to Baskent University Ankara Hospital Adult Emergency Department with burn injuries between January 2012 and December 2014 were studied for age, sex, time of admission, type of burn injury, clinical prognosis, mortality rate, percent burn area, and total cost of care. A total of 264 patients were enrolled. Chi square test was used for the comparison of categorical variables. Non-parametric tests were used for the comparison of continuous variables.ResultsThis study included 179 (67.8 %) women and 85 (32.2 %) men. The most common types of burn injuries were hot water burns and scalding. Eleven point seven percent of the patients sustained burn injuries in occupational accidents. 95.1 % of the patients were discharged from the emergency and 4.5 % of them were hospitalized. Only 1 (0.4 %) patient died. There was no significant difference between patient outcomes (discharge vs. hospital admission) with respect to the cost of care (p = 0.846) No significant difference was found between the cost of care of surgical and non-surgical management of burn injuries (p = 0.206). No significant difference was found between the costs of care of different types of burn injuries (p = 0.053). There was a significant difference between burn degrees with respect to the cost of care (p = 0.038). A significant difference was found between the costs of care of patients with a percent burn area of less than 10 % and those with a percent burn area of more than 10 % (p < 0.001), indicating that as percent burn area increased, a proportional increase occurred in the cost of care.ConclusionsBurn degree and percent burn area were the main determinants of the cost of care of burn injuries. In conclusion, burn injuries are preventable by taking occupational measures and raising public awareness about domestic accidents.

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Reduced Length of Stay in Hospital for Burn Patients Following a Change in Practice Guidelines

Cited by 28 publications

References 17 publications

Treatment of Patients With Severe Burns—Costs and Health-Related Quality of Life Outcome

Treatment of Patients With Severe Burns—Costs and Health-Related Quality of Life Outcome

Costs of burn care: A systematic review

Epidemiological and cost analysis of burn injuries admitted to the emergency department of a tertiary burn center

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