The Cost Of Burn Care And The Federal Government’S Response In The 1990S

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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The Cost of Burn Care and Implications for the Future on Quality of Care

Journal of Trauma and Acute Care Surgery ◽

10.1097/00005373-198603000-00009 ◽

1986 ◽

Vol 26 (3) ◽

pp. 260-265 ◽

Cited By ~ 27

Author(s):

ALAN R. DIMICK ◽

LINDA H. POTTS ◽

EDGAR D. CHARLES ◽

JOHN WAYNE ◽

IDA MARTHA REED

Keyword(s):

Quality Of Care ◽

Burn Care ◽

The Future ◽

The Cost

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Early Excision and Grafting in Burns: An Experience in a Tertiary Care Industrial Hospital of Eastern India

Indian Journal of Plastic Surgery ◽

10.1055/s-0039-3402707 ◽

2019 ◽

Vol 52 (03) ◽

pp. 337-342

Author(s):

Prasenjit Goswami ◽

Seelora Sahu ◽

Pankaj Singodia ◽

Manjeet Kumar ◽

Tukulu Tudu ◽

...

Keyword(s):

Length Of Stay ◽

Burn Injury ◽

Tertiary Care ◽

Total Body Surface Area ◽

Burn Patients ◽

Cost Of Treatment ◽

Outcome Parameters ◽

Burn Care ◽

Significant Difference ◽

The Cost

Abstract Introduction To compare the burn patients undergoing early excision and grafting (within 7 days of burn injury) with the patients undergoing late surgeries (more than 7 days after burn injury) to see if there was any difference in surgical and outcome parameters including length of stay, expenditure, and overall outcome of the patients. Material and Methods A retrospective analysis of the data collected from the burn care unit records over a period of one year was done. Fifty-eight patients who matched with our inclusion criteria were divided into two groups. An early excision group who underwent surgery within 7 days of sustaining burn injury (n = 24) and a late excision group who underwent excision and grafting/debridement after 7 days of sustaining burn (n = 34). Data recorded included demographic variables like age, sex, percentage total body surface area (TBSA) burn; nature of burn; date of sustaining burn; date of admission to the burn care unit; and treatment and outcome parameters like date of surgery, days from burn injury to first surgery, number of surgeries, type of surgery, percentage of TBSA resurfaced with skin graft, blood products used, length of stay, outcome, and total expenditure incurred by patients. Results There was no statistically significant difference in the number of surgeries done, the units of packed cell used, and the number of fresh frozen plasma (FFP) used between the early excision group and the late excision group. The length of stay was significantly low in the early excision group as compared with the late excision group. The expenditure incurred in the treatment of the early excision group was significantly lower than the cost of treatment of the late excision group. Conclusion Early excision and grafting in burn cases reduces the length of the stay of burn patients and, in turn, reduces the cost of treatment. However, having a dedicated burn care unit is important for the hospitals and both public and private hospitals should make a move in that direction.

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Paediatric burns

Burns (OSH Surgery) ◽

10.1093/med/9780199699537.003.0034 ◽

2019 ◽

pp. 303-310

Author(s):

Jong Lee

Keyword(s):

Resource Allocation ◽

Hospital Care ◽

Burn Injury ◽

Term Therapy ◽

Burn Care ◽

Paediatric Burns ◽

Informatics Infrastructure ◽

Long Term Therapy ◽

The Cost

The burden of burn injury, however trivial it may seem, is devastating physically, psychologically and also financially. Health economists find it difficult to quantify the costs of acute care and almost impossible to define the cost of the needed adjustment after recovery. Burns patients often require long-term therapy and out patient hospital care, and frequently, re-admission for reconstructive surgery. Calculating the cost of burn care is important for reimbursement, resource allocation and achieving efficiency by prudent cost analysis. Realistic cost estimates of burn care require robust data collection and a reliable informatics infrastructure.

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The Impact of Substance Use on the Cost of Acute Burn Care

Journal of Burn Care & Rehabilitation ◽

10.1097/00004630-199801001-00100 ◽

1998 ◽

Vol 19 ◽

pp. S185

Author(s):

A Kowal-Vern ◽

S Zourgas ◽

S Silberman ◽

V McGill ◽

R L Gamelli

Keyword(s):

Substance Use ◽

Burn Care ◽

The Cost ◽

The Impact

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The IBM-PC in electron microscopy

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100165525 ◽

1996 ◽

Vol 54 ◽

pp. 612-613

Author(s):

James F. Mancuso

Keyword(s):

Head Start ◽

Image Acquisition ◽

Cost Effective ◽

Financial Applications ◽

Number Of Factors ◽

Instrument Control ◽

The Cost ◽

Training And Support ◽

Control Image ◽

Ibm Pc

IBM PC compatible computers are widely used in microscopy for applications ranging from control to image acquisition and analysis. The choice of IBM-PC based systems over competing computer platforms can be based on technical merit alone or on a number of factors relating to economics, availability of peripherals, management dictum, or simple personal preference.IBM-PC got a strong “head start” by first dominating clerical, document processing and financial applications. The use of these computers spilled into the laboratory where the DOS based IBM-PC replaced mini-computers. Compared to minicomputer, the PC provided a more for cost-effective platform for applications in numerical analysis, engineering and design, instrument control, image acquisition and image processing. In addition, the sitewide use of a common PC platform could reduce the cost of training and support services relative to cases where many different computer platforms were used. This could be especially true for the microscopists who must use computers in both the laboratory and the office.

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New Feasible Concepts of Aberration Correction for Realizing High-Resolution Electron Microscopes

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100179762 ◽

1990 ◽

Vol 48 (1) ◽

pp. 202-203

Author(s):

H. Rose

Keyword(s):

Spherical Aberration ◽

Wave Length ◽

Electron Wave ◽

Optical Lens ◽

Resolution Electron ◽

Rotationally Symmetric ◽

Electron Microscopes ◽

The Cost ◽

Imaging Performance ◽

Acceleration Voltage

The imaging performance of the light optical lens systems has reached such a degree of perfection that nowadays numerical apertures of about 1 can be utilized. Compared to this state of development the objective lenses of electron microscopes are rather poor allowing at most usable apertures somewhat smaller than 10-2 . This severe shortcoming is due to the unavoidable axial chromatic and spherical aberration of rotationally symmetric electron lenses employed so far in all electron microscopes.The resolution of such electron microscopes can only be improved by increasing the accelerating voltage which shortens the electron wave length. Unfortunately, this procedure is rather ineffective because the achievable gain in resolution is only proportional to λ1/4 for a fixed magnetic field strength determined by the magnetic saturation of the pole pieces. Moreover, increasing the acceleration voltage results in deleterious knock-on processes and in extreme difficulties to stabilize the high voltage. Last not least the cost increase exponentially with voltage.

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