Treatment costs of burn victims in a university hospital

Anami, Elza Hiromi Tokushima; Zampar, Elisangela F.; Tanita, Marcos Toshiyuki; Cardoso, Lucienne Tibery Queiroz; Matsuo, Tiemi; Grion, Cíntia Magalhães Carvalho

doi:10.1016/j.burns.2016.08.022

Cited by 23 publications

(23 citation statements)

References 27 publications

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“…Fatal injuries have a profound effect on society in general, and costs of care provided ( 1 ). The present review found one Brazilian study carried out with ICU patients ( 22 ) in which the elevated mean cost per surviving patient was lower than non-surviving patient.…”

Section: Discussionmentioning

confidence: 85%

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The Costs of Burn Victim Hospital Care around the World: A Systematic Review

Saavedra

Leal

Areda

et al. 2021

ijph

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Background: Burn injuries are very common and fire-related burns account for over 300,000 deaths per year globally. The costs of the treatment of these patients change around the world. The aim of the present study was to conduct a systematic literature review to identify the costs related to hospital stays of burn victims in countries with different Human Development Index (HDIs). Methods: PubMed, CINAHL and BVIS databases were searched using the following terms: “burn,” treatment” and “costs”. The review included articles that presented cost studies or economic assessments of burn victims in which the costs were reported, and published between 2012 and 2019. The quality of the evidence was assessed using the Consensus on Health Economic Criteria. This review presents register in Prospero (CRD42019137580). Results: The review included 19 economic studies conducted in 13 countries, most with a very high HDIs. Most studies estimated direct acute burn care costs through bottom-up costing and institutional data. Total hospital care costs ranged from US$ 10.58 to US$ 125,597.86 per patient, the cost of 1% of total body surface area burned ranged from US$ 2.65 to US$ 11,245.04, and the cost of hospital care per day, from US$ 24.23 to US$ 4,125.50. Conclusion: The costs are high and show wide discrepancies among countries. Medical costs and other losses caused by fatal and non-fatal burn injuries differ considerably among demographic groups, care protocols, and country HDIs.

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Section: Discussionmentioning

confidence: 85%

“…Rehabilitation strongly impacts the costs of burn care and should not be underestimated ( 33 , 34 ). In Brazil, there are few studies that evaluate the costs of burn care in hospitals ( 22 , 35 ).…”

Section: Discussionmentioning

confidence: 99%

The Costs of Burn Victim Hospital Care around the World: A Systematic Review

Saavedra

Leal

Areda

et al. 2021

ijph

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“…While our results tend to show a lower number of days spent in the BICU with patients who participated in the ergometric exercises, they were not 17 and approximately $1330 in a university setting. 18 Any reduction in the number of days spent in the ICU would be economically impactful, particularly for low-income families in rural areas are at higher risk of incidence of burn injury. 19 The Control group lost approximately 5.0% of their total weight and 2.6% lean body mass, while the Exercise group lost about 3.3% of their total weight and 1.3% of lean body mass.…”

Section: Discussionmentioning

confidence: 99%

“…The average cost of burn care in the United States was $88,218, with the median cost of $44,024, 17 and approximately $1330 in a university setting. 18 Any reduction in the number of days spent in the ICU would be economically impactful, particularly for low-income families in rural areas are at higher risk of incidence of burn injury. 19…”

Section: Discussionmentioning

confidence: 99%

The effects of short bouts of ergometric exercise for severely burned children in intensive care: A randomized controlled trial

et al. 2022

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Objective To determine the effects of short bouts of ergometric exercises on the number of days in the burn intensive care unit (ICU), body mass, and functional ambulation. Design Multi-center, randomized controlled trial. Setting Burn intensive care unit. Participants Children ages 7–17 with severe burns covering over 30% total body surface area (TBSA). Intervention All patients received standard of care (Control) with the experimental group receiving additional exercise with a cycle ergometer (Exercise). Main measures The number of days in the ICU, total weight, lean body mass (LBM), and functional ambulation were taken shortly after randomization and again within one week of the scheduled hospital discharge. Results of outcomes are expressed as median ± interquartile range (IQR), unless otherwise noted (e.g. demographics). Results Fifty-four severely burned children (n = 18 Control, n = 36 Exercise) were included. The average ± standard deviation for age was 12 ± 3 years and TBSA was 48 ± 16%. The median ± IQR ICU days for Control was 46 ± 51 days vs 31 ± 29 days for Exercise. The median total weight loss for Control was 2.2 ± 1.2 kg vs 1.8 ± 1.4 kg in Exercise. Control lost 0.75 ± 0.8 kg of LBM vs 0.46 ± 0.43 kg in Exercise. Both groups showed significant improvement in functional ambulation ( p < 0.01). However, exercise did not add additional benefits. Conclusion Short bouts of ergometric exercises are feasible for severely burned patients while receiving care in the ICU but did not add additional benefits.

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“…Low-and-middleincome countries suffer from double burden of higher burn and fire related admission, and soaring healthcare costs of treating burn patients [12]. A variety of studies in different countries show that treatment costs of burn patients is high [13][14][15]. A study in Iran has found that total treatment costs associated with 1721 burn patients was about US$ 4835000 over two years -an average of US$ 2810 per each patient.…”

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confidence: 99%

‘Poverty flames burns’: deficiencies of burn care financing in Iran’s healthcare system

Amini-Rarani

Mohammadi

Zadeh

et al. 2019

Preprint

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Background: Due special characteristics of burn patients, such as vulnerability, high treatment costs, and expensiveness of burn services, financing of burn services has a crucial importance. The current study aims to identify challenges of financing of burn services in Iranian healthcare system. Methods: The current qualitative study employed purposeful sampling with maximum variation. In total, 21 interviews were carried out to the saturated point, with interviewees from national, provincial, and local (hospital) levels. Kutzin’s descriptive framework on analyze of financing programs for healthcare services at national level was used to develop interview guide. A thematic analysis with hybrid approach of inductive and deductive coding and theme development was employed to analyze the transcribed documents by using MAXQDA Version 12.0 (VERBI GmbH Berlin) Release 12.3.0. Results: Three themes and nine (sub-themes) were identified, as follow: collection of funds (revenue generation), pooling of funds (cost-sharing and fees, and uninsured people) and purchasing of services (inappropriate payment mechanism, incomplete content of service benefit package, inappropriate financial resource allocation, ineffective medical tariffs, top-down budgeting approach and lobbying in resource allocation). Conclusions: According to the results of the current study financing burn services can be improved through reviewing and reforming burn financing policies (with ultimate goal of universal health coverage), increasing affordability of burn services, allocating sufficient budgets and using evidence-based purchasing that is based on objective indicators of demand and supply, and also creating new financial resources (through advocacy from related stakeholders and imposing sin taxes), so that other institutions such as Ministry of Oil, Ministry of Energy and municipalities be engaged in financing burn services to address financial deficiencies.

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Treatment costs of burn victims in a university hospital

Cited by 23 publications

References 27 publications

The Costs of Burn Victim Hospital Care around the World: A Systematic Review

The Costs of Burn Victim Hospital Care around the World: A Systematic Review

The effects of short bouts of ergometric exercise for severely burned children in intensive care: A randomized controlled trial

‘Poverty flames burns’: deficiencies of burn care financing in Iran’s healthcare system

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