• Burns · Jun 2020

    Cost-drivers of medical expenses in burn care management.

    • Shin-Yi Tsai, Chon-Fu Lio, Wei-Cheng Yao, Chang-Pan Liu, Shou-Chuan Shih, Tina Yu-Ting Wang, Kam-Hang Leong, Fang-Ju Sun, and Chien-Feng Kuo.
    • Department of Laboratory Medicine, Mackay Memorial Hospital, Taipei City, Taiwan; Department of Medicine, Mackay Medical College, New Taipei City, Taiwan; Graduate Institute of Long-Term Care, Mackay Medical College, New Taipei City, Taiwan; Graduate Institute of Biomedical Sciences, Mackay Medical College, New Taipei City, Taiwan; Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, United States. Electronic address: stsai22@jhu.edu.
    • Burns. 2020 Jun 1; 46 (4): 817-824.

    BackgroundProfound differences exist in the cost of burn care globally, thus we aim to investigate the affected factors and to delineate a strategy to improve the cost-effectiveness of burn management.MethodsA retrospective analysis of 66 patients suffering from acute burns was conducted from 2013 to 2015. The average age was 26.7 years old and TBSA was 42.1% (±25.9%). We compared the relationship between cost and clinical characteristics.ResultsThe estimated cost of acute burn care with the following formula (10,000 TWD) = -19.80 + (2.67 × percentage of TBSA) + (124.29 × status of inhalation injury) + (147.63 × status of bacteremia) + (130.32 × status of respiratory tract infection).ConclusionThe majority of the cost were associated with the use of antibiotics and burns care. Consequently, it is crucial to prevent nosocomial infection in order to promote healthcare quality and reduce in-hospital costs.Copyright © 2020 Elsevier Ltd and ISBI. All rights reserved.

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