What are the real costs of major trauma?
Background: This economic evaluation reports the results of a detailed study of the cost of major trauma treated at Princess Alexandra Hospital(PAH), Australia.
Methods: A bottom-up approach was used to collect and aggregate the direct and indirect costs generated by a sample of 30 inpatients treated for major
trauma at PAH in 2004. Major trauma was defined as an admission for Multiple Significant Trauma with an Injury Severity Score �15. Direct and indirect costs were amalgamated from three sources, (1) PAH inpatient costs,
(2) Medicare Australia, and (3) a survey instrument. Inpatient costs included the initial episode of inpatient care including clinical and outpatient services
and any subsequent representations for ongoing-related medical treatment.Medicare Australia provided an itemized list of pharmaceutical and ambulatory goods and services. The survey instrument collected out-of-pocket
expenses and opportunity cost of employment forgone. Inpatient data obtained from a publically funded trauma registry were used to control for any potential bias in our sample. Costs are reported in Australian dollars for 2004
and 2008. Results: The average direct and indirect costs of major trauma incurred up to 1-year postdischarge were estimated to be A$78,577 and A$24,273,
respectively. The aggregate costs, for the State of Queensland, were estimated to range from A$86.1 million to $106.4 million in 2004 and from A$135 million to A$166.4 million in 2008.
Conclusions: These results demonstrate that (1) the costs of major trauma are significantly higher than previously reported estimates and (2) the cost of
readmissions increased inpatient costs by 38.1%.
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|Item Type:||Journal Article|
|Keywords:||trauma, costs, economic evaluation|
|Subjects:||Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)|
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health|
Current > Schools > School of Public Health & Social Work
|Copyright Owner:||Copyright 2011 Lippincott Williams & Wilkins|
|Deposited On:||12 Apr 2011 07:57|
|Last Modified:||11 Aug 2011 04:13|
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