Cost analysis and related factors in patients with traumatic hand injury

2012 ◽  
Vol 38 (6) ◽  
pp. 673-679 ◽  
Author(s):  
F. Şahin ◽  
H. Akca ◽  
N. Akkaya ◽  
Ö. D. Zincir ◽  
A. Işık
Keyword(s):  
Injury Severity ◽  
Linear Regression Analysis ◽  
Indirect Costs ◽  
Direct Costs ◽  
Hand Injury ◽  
Related Factors ◽  
Total Cost ◽  
Lost Productivity ◽  
The Mean ◽  
Traumatic Hand Injury

The aim of this study was to measure the direct and indirect costs and factors influencing these costs in patients presenting following traumatic hand injury. We assessed patients aged 18–65 years who were in work. Hand injury severity and functional status were assessed. Direct costs, including medical care expenses, and indirect costs, including lost productivity, were calculated. Seventy-nine patients of a mean age of 32 years were included. The mean direct cost for each patient was $1772 (47% of total cost), and the indirect cost was $1891 (53% of total cost). Injury severity, time to return to work, and hospitalization time were the main parameters of increased total cost in a linear regression analysis.

scholarly journals Rehabilitation cost share and cost analysis of traumatic hand injuries: Our single-center results

2021 ◽  
Vol 67 (3) ◽  
pp. 308-314
Author(s):  
Merih Özgen ◽  
Ayşe Merve Aydoğan ◽  
Ali Uygur ◽  
Onur Armağan ◽  
Funda Berkan ◽  
...  
Keyword(s):  
Cost Analysis ◽  
Direct Cost ◽  
Injury Severity ◽  
Indirect Costs ◽  
Hand Injury ◽  
Economic Policies ◽  
Wrist Injuries ◽  
Total Cost ◽  
The Mean ◽  
The Cost

Objectives: This study aims to evaluate the cost expenses and rehabilitation share of hand and/or wrist injuries and to contribute to the development of health and economic policies. Patients and methods: A total of 59 patients (55 males, 4 females; mean age: 39.1±11.3 years; range, 20 to 64 years) who presented with hand and/or wrist injuries between January 2015 and December 2017 were retrospectively reviewed. Demographic data, hand injury information, and the Modified Hand Injury Severity Scores (MHISS) were retrieved from the patient file system. The cost analysis with direct and indirect costs was performed. Results: According to the MHISS, 27.1% of patients had a minor injury, 23.7% had a moderate injury, 18.6% had a severe injury, and 30.5% had a major injury. The mean direct cost of the patients was $726.00±641.87 and the total cost of the indirect cost was $2,776.93±1,619.00. The mean day-off time was 125±68.62 days. Indirect costs accounted for 79% of the total cost. The mean cost of rehabilitation was $150.18±86.88. Rehabilitation costs accounted for 4% of the total cost. There was a positive correlation between the MHISS and direct, indirect and total cost, but not between the MHISS and rehabilitation cost. Conclusion: The proportion of the share allocated to rehabilitation expenditures, which is the subunit of direct cost, is low and not related to the injury severity. The data obtained from the study contributed to the creation of evidence-based health and economic policies. We believe that these data also contribute to the planning of rehabilitation services according to the severity of injury which would improve the quality of life and return to work.

scholarly journals DESCRIPTIVE STUDY OF HAND INJURY ATTENDED AT TERTIARY CARE HOSPITAL WITH SPECIAL REFERENCE TO ASSESS SEVERITY OF HAND INJURY WITH HISS SCORE

2021 ◽  
Vol 5 (8) ◽  
Author(s):  
Nikhil Bansal ◽  
Sanjay Yadav ◽  
R L Dayma ◽  
Aditya Singh Rathore
Keyword(s):  
Injury Severity ◽  
Recovery Period ◽  
Tertiary Care ◽  
Mean Value ◽  
Hand Injury ◽  
Hand Strength ◽  
Care Hospital ◽  
Dominant Hand ◽  
The Mean ◽  
Traumatic Hand Injury

Background: We conducted this study to establish the predictability of HISS system to hand strength in patients with traumatic hand injury. Methods: This retrospective study was conducted on 30 hospitalized patients for surgery in in Jaipur due to traumatic hand injury. All of them received rehabilitation occupational therapy in the same trauma center with established protocols and were supervised by the same group of therapists within one month after surgery. Passive/active range of motion exercise, hand grip strength training, proprioception/functional training were included in this standardized protocol. Results: The mean age of patients was 41.36±13.69 Yrs. Among them, 23 patients were male and 7 patients were female.  63.33% were dominant hand injured. The mean value of total HISS score is 53.21 ± 36.35. A positive correlation exists between the differences of the strength of two hands, and the severity shown by HISS system. Conclusion: In conclusion, initial anatomical injury severity assessed by HISS system may predict hand strength in traumatic hand injured patients after an adequate recovery period. Poor hand strength could be expected with initial high total HISS score. Keywords: HISS, Hand injury, Palmer pinch.

scholarly journals Cost of hypertension illness and associated factors among patients attending hospitals in Southwest Shewa Zone, Oromia Regional State, Ethiopia

2019 ◽  
Author(s):  
Addisu Bogale ◽  
Teferi Daba ◽  
Dawit Wolde Daka
Keyword(s):  
Linear Regression Analysis ◽  
Indirect Costs ◽  
Total Direct Cost ◽  
Multivariate Linear Regression Analysis ◽  
Total Cost ◽  
Direct And Indirect Costs ◽  
Regional State ◽  
The Mean ◽  
The Cost ◽  
The Impact

AbstractBackgroundHypertension is a common vascular disease and the main risk factor for cardiovascular diseases. The impact of hypertension is on the rise in Ethiopia, so that, it is predictable that the cost of healthcare services will further increase in the future. We aimed to estimate the total cost of hypertension illness among patients attending hospitals in Southwest Shewa zone, Oromia Regional State, Ethiopia.Patients and methodsInstitution based cross-sectional study was conducted from July 1-30, 2018. All hypertensive patients who were on treatment and whose age was greater than eighteen years old were eligible for this study. The total cost of hypertension illness was estimated by summing up the direct and indirect costs. Bivariate and multivariate linear regression analysis was conducted to identify factors associated with hypertension costs of illness.ResultsOverall, the mean monthly total cost of hypertension illness was US $ 22.3 (95% CI, 21.3-23.3). Direct and indirect costs share 51% and 49% of the total cost, respectively. The mean total direct cost of hypertension illness per patient per month was US $11.39(95% CI, 10.6-12.1). Out of these, drugs accounted of a higher cost (31%) followed by food (25%). The mean total indirect cost per patient per month was US $10.89(95% CI, 10.4-11.4). Educational status, distance from hospital, the presence of companion and the stage of hypertension were predictors of the cost of illness of hypertension.ConclusionThe cost of hypertension illness was very high when compared with the mean monthly income of the patients letting patients to catastrophic costs. Therefore, due attention should be given by the government to protect patients from financial hardships.

scholarly journals Trends in incidence rate, health care use, and costs due to rib fractures in the Netherlands

2021 ◽  
Author(s):  
Jonne T. H. Prins ◽  
Mathieu M. E. Wijffels ◽  
Sophie M. Wooldrik ◽  
Martien J. M. Panneman ◽  
Michael H. J. Verhofstad ◽  
...  
Keyword(s):  
Health Care ◽  
Incidence Rate ◽  
Health Care Costs ◽  
Indirect Costs ◽  
Rib Fractures ◽  
Work Absence ◽  
Lost Productivity ◽  
The Mean ◽  
Using Data ◽  
Care Costs

Abstract Purpose This study aimed to examine population-based trends in the incidence rate, health care consumption, and work absence with associated costs in patients with rib fractures. Methods A retrospective nationwide epidemiologic study was performed with data from patients with one or more rib fractures presented or admitted to a hospital in the Netherlands between January 1, 2015 and December 31, 2018 and have been registered in the Dutch Injury Surveillance System (DISS) or the Hospital Discharge Registry (HDR). Incidence rates were calculated using data from Statistics Netherlands. The associated direct health care costs, costs for lost productivity, and years lived with disability (YLD) were calculated using data from a questionnaire. Results In the 4-year study period, a total of 32,124 patients were registered of which 19,885 (61.9%) required hospitalization with a mean duration of 7.7 days. The incidence rate for the total cohort was 47.1 per 100,000 person years and increased with age. The mean associated direct health care costs were €6785 per patient and showed a sharp increase after the age of 75 years. The mean duration of work absence was 44.2 days with associated mean indirect costs for lost productivity of €22,886 per patient. The mean YLD was 0.35 years and decreased with age. Conclusion Rib fractures are common and associated with lengthy HLOS and work absenteeism as well as high direct and indirect costs which appear to be similar between patients with one or multiple rib fractures and mostly affected by admitted patients and age.

scholarly journals Measuring the Total Cost of Ankle Fractures: A Prospective Analysis

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0006
Author(s):  
Peter C. Noback ◽  
Tess Dougherty ◽  
Christina Freibott ◽  
Eric F. Swart ◽  
Melvin P. Rosenwasser ◽  
...  
Keyword(s):  
Return To Work ◽  
Indirect Cost ◽  
Direct Cost ◽  
Indirect Costs ◽  
The United States ◽  
Direct Costs ◽  
Cost Data ◽  
Ankle Fractures ◽  
Total Cost ◽  
True Value

Category: Trauma; Ankle Introduction/Purpose: Ankle fractures (AFx) are the most common foot and ankle fracture seen at hospitals in the United States, and are undoubtedly costly to patients. Quantification of the costs of fractures and their associated treatments has garnered increased attention in orthopedics in recent years through cost-effectiveness analysis. However, literature pertaining to AFx’s almost never reports on the indirect costs of AFx’s, and thus fails to accurately assess the true value of treatments. The purpose of this study was to prospectively assess the direct and indirect costs of AFx’s in operatively and nonoperatively treated patients. Secondary analysis included evaluation of the composition of indirect cost, the duration these costs are endured, and the factors that influence their magnitude. Methods: A prospective observational single-center study was performed. Adult patients presenting for initial consult for an AFx that could speak English or Spanish were enrolled. Polytrauma patients and those unable to provide complete indirect cost data were excluded. Patients completed a cost form that asked the money they had spent in the last week on transportation, household chores, and self-care due to their AFx. Patients were considered to have complete indirect cost data if they returned for follow-up visits until they reported no recurring indirect costs and had returned to work. Direct cost data was obtained directly from the hospital billing department. Amount collected was utilized. Direct costs included any costs incurred from staff treating the patient, supplies required for treatment, and the use of healthcare facilities. A descriptive analysis of the entire cohort and stratification by operative status was performed for the primary comparative analysis. Results: 60 patients were ultimately analyzed. Average age was 46.5 years. 55% were female. 10% of patients were diabetic. 17% smoked cigarettes actively. Weber A, B, and C fractures composed 12%, 72%, and 18% of fractures, respectively. Operatively treated patients (n=37) had a significantly higher total and direct cost than non-operative patients (P<0.01). Average salary of the 39 employed patients was $61,416 and return to work period was 11.2 weeks. In all patients, lost income accounted for the largest portion of total and indirect cost, averaging 38% of total cost. Longer periods of return to work were significantly associated with undergoing surgery and having less than a college-level education (P<0.05). Average number of weeks for indirect costs to amount to zero was 19.1. Conclusion: In patients treated operatively and nonoperatively, the largest cost component was an indirect cost: missed wages at 28.6% and 63.3%, respectively. While the majority of the direct costs of AFx’s are accrued in the period immediately following the injury, indirect cost components will regularly be incurred for nearly 5 months and often longer. The degree and duration to which these indirect costs accumulate are novel findings. Future research should no longer neglect reporting on an intervention’s impact on the indirect costs of AFx’s. [Table: see text]

MODEL BIAYA TIDAK LANGSUNG PROYEK STRUKTUR GEDUNG BETON BERTULANG

1970 ◽  
Author(s):  
I Ketut Nudja S ◽  
I N. Sutarja ◽  
Mayun Nadiasa
Keyword(s):  
Reinforced Concrete ◽  
Indirect Cost ◽  
Cost Model ◽  
Linear Regression Analysis ◽  
Indirect Costs ◽  
Direct Costs ◽  
Accounting System ◽  
Building Structures ◽  
Reinforced Concrete Building ◽  
Concrete Building

The cost of the project itself , in line with the accounting system which consists of direct costs and indirect costs . Contractor in determining competitive bidding strategy, should propose a cost which include estimate real cost plus mark up . Based on observations at PT. Sarana Bangun Ragam Cipta, a contractor company , found that the company does not  follow the rules mentioned above, Besides that the book keeping system for the project cost has not implemented a financial accounting system properly , so that the  proportion of direct costs and indirect costs of each project is un know. It required a study to be conducted to  determine the proportion of direct costs to indirect costs and indirect cost model. Quantitative research was conducted on the 12 (twelve ) project of  reinforced concrete building structures using two (2 ) independent variables , namely the direct costs ( X1 ) and duration ( X2 ) and 1 ( one ) dependent variable , ie indirect costs (? ) . Descriptive analysis to determine the proportion of indirect costs to direct costs . Analysis of data using multiple linear regression analysis to determine the indirect cost model of reinforced concrete building structures projects. From analysis found the average proportion of indirect costs to direct cost was 8.50 % , meanwhile  indirect cost model is ? = - 1.462E7 + 0.056 ( X1 ) + 558,775.937 ( X2 ) , where : ? = Indirect costs ( Rp . ) , X1 = direct costs (Rp .) , X2 = Duration ( days ) . The proportion of indirect costs can be used to calculate indirect costs = 0.085 x direct costs and the above model can also be used to predict the value of ? with accuracy 90% or at ? (±) 0.10, if the values ??of X1 and X2 is know on popolation where the data is taken

scholarly journals Methodologies of Economic Measurement and Vulnerability Assessment for Application in Landslide Risk Analysis in a Highway Domain Strip: A Case Study in the Serra Pelada Region (Brazil)

2019 ◽  
Vol 11 (21) ◽  
pp. 6130 ◽  
Author(s):  
Ellen Felizardo Batista ◽  
Larissa De Brum Passini ◽  
Alessander Christopher Morales Kormann
Keyword(s):  
Vulnerability Assessment ◽  
Risk Mitigation ◽  
Indirect Costs ◽  
Direct Costs ◽  
Mitigation Strategies ◽  
Economic Losses ◽  
Landslide Risk ◽  
Total Cost ◽  
Landslide Occurrence ◽  
Serra Do Mar

Landslides are one of the main causes of death caused by disasters in the world. In this study, methodologies to measure landslide costs and to assess vulnerability are presented, with the objective of applying them to landslide risk analyses. The methodologies were applied in a region of Serra do Mar, which is crossed by a highway. The analyses and mappings were implemented in a Geographic Information System (GIS). Through the application of the methodology that considers both direct and indirect costs in the composition of total cost, it was established how much an m2 of a landslide would cost. The composition of direct costs encompassed the damages related to restoration or construction of the highways, infrastructures, unpaved roads, residential and commercial buildings, vegetal cover and agricultural areas. In indirect costs, the economic losses by victims, highway interdiction, and agricultural area profitability were calculated. In the methodology for vulnerability assessment, bodily injuries, structural damages, and functional disturbances resulted from landslides were analyzed. The risk assessment was performed through the junction of the maps of total cost, vulnerability and susceptibility. The results indicate that indirect costs were predominant in cost composition, corresponding to 87% of total costs, in comparison to 13% of the direct costs, stressing the importance of considering indirect costs in economic measurement studies. As a result, it is possible to conclude that studying landslide consequences as economic parameters supports the increasing need of performing risk quantitative analyses. It is also prudent to add that these studies help decision makers in projects of disaster risk mitigation strategies, by allowing the identification of regions with greater economic impacts in case of landslide occurrence.

scholarly journals Lifestyle factors, direct and indirect costs for a Brazilian airline company

2014 ◽  
Vol 48 (6) ◽  
pp. 949-957 ◽  
Author(s):  
Fabiana Maluf Rabacow ◽  
Olinda do Carmo Luiz ◽  
Ana Maria Malik ◽  
Alex Burdorf
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Sick Leave ◽  
Body Mass ◽  
Healthcare Costs ◽  
Indirect Costs ◽  
Direct Costs ◽  
Multivariate Linear Regression Analysis ◽  
Related Factors ◽  
Airline Company

OBJECTIVE To analyze lifestyle risk factors related to direct healthcare costs and the indirect costs due to sick leave among workers of an airline company in Brazil. METHODS In this longitudinal 12-month study of 2,201 employees of a Brazilian airline company, the costs of sick leave and healthcare were the primary outcomes of interest. Information on the independent variables, such as gender, age, educational level, type of work, stress, and lifestyle-related factors (body mass index, physical activity, and smoking), was collected using a questionnaire on enrolment in the study. Data on sick leave days were available from the company register, and data on healthcare costs were obtained from insurance records. Multivariate linear regression analysis was used to investigate the association between direct and indirect healthcare costs with sociodemographic, work, and lifestyle-related factors. RESULTS Over the 12-month study period, the average direct healthcare expenditure per worker was US$505.00 and the average indirect cost because of sick leave was US$249.00 per worker. Direct costs were more than twice the indirect costs and both were higher in women. Body mass index was a determinant of direct costs and smoking was a determinant of indirect costs. CONCLUSIONS Obesity and smoking among workers in a Brazilian airline company were associated with increased health costs. Therefore, promoting a healthy diet, physical activity, and anti-tobacco campaigns are important targets for health promotion in this study population.

scholarly journals Lag of accommodation predicts clinically significant change of spherical equivalents after cycloplegia

2021 ◽  
Vol 14 (7) ◽  
pp. 1052-1058
Author(s):  
Cheng-Cheng Jin ◽  
◽  
Bei Du ◽  
Gui-Hua Liu ◽  
Nan Jin ◽  
...  
Keyword(s):  
Axial Length ◽  
Linear Regression Analysis ◽  
Area Under The Curve ◽  
Vital Role ◽  
Female Group ◽  
Multivariate Linear Regression Analysis ◽  
Related Factors ◽  
Lag Of Accommodation ◽  
The Mean ◽  
Clinically Significant

AIM: To evaluate related factors with the change of spherical equivalents (ΔSE) and determine the suitable predictor of clinically significant ΔSE (≥0.50 D) with cyclopentolate hydrochloride on Chinese children. METHODS: A total of 145 right eyes of 145 children aged 4 to 15y were enrolled. Intraocular pressure, axial length and lag of accommodation (LOA) were assessed before cycloplegia induced by 3 drops of 1% cyclopentolate at 5-minute intervals. SE was measured before and 1h after the first drop of cyclopentolate. ΔSE was compared between different gender groups and among refractive groups. Multivariate linear regression analysis was performed to find related factors with ΔSE. ROC analysis was used to figure out the suitable predictor of clinically significant ΔSE. RESULTS: For the total 145 eyes, the mean SE reached up to -0.70±1.86 D from -1.30±1.62 D, with the mean ΔSE of 0.60±0.55 D. The mean ΔSE were 0.63±0.55 D and 0.57±0.56 D respectively in the male and female group (P=0.40). The mean ΔSE was significantly different among different refractive groups (P<0.0001), with the ΔSE of hyperopia group (1.12±0.64 D) larger than that of the emmetropia (0.56±0.43 D, P=0.001) and myopia group (0.32±0.28 D, P<0.0001). The ΔSE was correlated with LOA (B=-0.54, P<0.0001), cycloplegic SE (B=0.10, P<0.0001) and age (B=-0.04, P=0.015). ROC curve indicated that LOA predicted clinically significant ΔSE by 82% [area under the curve (AUC)=0.82] alone, while the value was slightly improved to 85% (AUC=0.85) in combination with axial length and 86% (AUC=0.86) in association with axial length as well as age. CONCLUSION: After cycloplegia with cyclopentolate, the ΔSE decreases with larger LOA, longer axial length and older age. Specifically, LOA plays a more vital role in predicting clinically significant ΔSE.

scholarly journals Costs of nursing procedures/interventions: an integrative literature review

2020 ◽  
Vol 73 (suppl 6) ◽  
Author(s):  
Paula Buck de Oliveira Ruiz ◽  
Caroline Rife Nobrega ◽  
Cínthia Prates Vigna ◽  
Antônio Fernandes Costa Lima
Keyword(s):  
Health Care ◽  
Literature Review ◽  
Indirect Costs ◽  
Direct Costs ◽  
Scientific Production ◽  
Case Study Method ◽  
Total Cost ◽  
The Cost ◽  
Nursing Professionals

ABSTRACT Objectives: to analyze the scientific production of nurses regarding the costs of procedures/interventions performed by nursing professionals. Methods: integrative literature review with a sample of 17 primary articles selected from the CINAHL, Scopus, EMBASE databases and the PubMed portal. Results: all studies were conducted in hospitals, with quantitative, exploratory-descriptive studies, considering the case study method, with the description of costs method adopted, and the number of Brazilian publications stood out (12; 70.58%). The calculation of direct costs was most common due to the absence/difficulty of accessing information in the studied hospitals. This made it impossible to obtain the indirect costs that would be necessary for the composition of the total cost. Conclusions: it was shown that studies about the cost of procedures/interventions are still scarce, often covering only the calculation of direct costs. Nurses need to develop studies on such costs using the same methodology in different contexts of health care.

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