What are the true costs of major trauma?

Rowell, David, Connelly, Luke, Webber, Jodie, Tippett, Vivienne, Thiele, David and Schuetz, Michael (2011) What are the true costs of major trauma?. The Journal of Trauma: Injury, Infection, and Critical Care, 70 5: 1086-1095. doi:10.1097/TA.0b013e3181ed4d29


Author Rowell, David
Connelly, Luke
Webber, Jodie
Tippett, Vivienne
Thiele, David
Schuetz, Michael
Title What are the true costs of major trauma?
Journal name The Journal of Trauma: Injury, Infection, and Critical Care   Check publisher's open access policy
ISSN 0022-5282
1529-8809
Publication date 2011-05-01
Sub-type Article (original research)
DOI 10.1097/TA.0b013e3181ed4d29
Open Access Status Not Open Access
Volume 70
Issue 5
Start page 1086
End page 1095
Total pages 10
Place of publication Baltimore, MD, United States
Publisher Lippincott Williams & Wilkins
Language eng
Formatted abstract
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%.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Medicine Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 9 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 9 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Fri, 23 Sep 2011, 20:36:16 EST by Chesne McGrath on behalf of Medicine - Royal Brisbane and Women's Hospital