HİZMET İŞLETMELERİNDE MALIYET ANALİZİ: SİVAS NUMUNE HASTANESİ YANIK ÜNİTESİNDE YATAN HASTALARIN MALİYET ANALİZİ

2014 ◽  
Vol 1 (2) ◽  
pp. 156
Author(s):  
Erkan HAZAR ◽  
Ali Rıza İNCE ◽  
Selim ÇAM ◽  
Naim KARAGÖZ
Keyword(s):  
State Hospital ◽  
Average Cost ◽  
Burn Injury ◽  
Hot Water ◽  
Daily Cost ◽  
Total Cost ◽  
Independent Variable ◽  
Electrical Burns ◽  
Average Daily Cost

Aim. The aim of this study is to investigate retrospectively the average cost per patient between the time 1May 2012-15 June 2013 in 68 patients who were hospitalized in the Burn Section of Numune State Hospital. Methods. This investigation includes age, degree of burn, burn percentage, burn type, hospitalization days and bills. Rates were determined according to the burn type of patients and costs were determined according to these types. Results. 80.9% of patients had hot water burn, 7.4% were burned due to burst flames, 4.4% had milk burns, 4.4% had steam burns and 2.9% were identified to have electrical burns. Average costs of burn injury inpatients was reported as TL values. Conclusion. The degree of burn injury, burn ratio and number of days during hospitalization were found to be dependent while age and type of burn injury were found to be independent variable that affect burn costs. The most important paramater that increased cost was number of days of hospitalization. Total cost of 68 patients was 1193,65 TL and average daily cost of a patient was found to be 110,12TL.

scholarly journals Estimativa do Custo do Tratamento da Lesão por Pressão, Como Prevenir e Economizar Recursos

2018 ◽  
Vol 86 (24) ◽  
Author(s):  
Lívia Bertasso Araújo Portugal ◽  
Barbara Pompeu Christovam
Keyword(s):  
Retrospective Study ◽  
Rio De Janeiro ◽  
Costs And Cost Analysis ◽  
Hospital Costs ◽  
Wound Treatment ◽  
Daily Cost ◽  
Hospital Unit ◽  
Total Cost ◽  
Lesion Treatment ◽  
Average Daily Cost

O objetivo é estimar o custo hospitalar do tratamento da lesão por pressão e rever a literatura a respeito da prevençãode tais lesões. Estudo descritivo, retrospectivo, de março a dezembro de 2015, incluindo 58 pacientes, com um total de87 lesões por pressão, em uma unidade hospitalar de Niterói, Rio de Janeiro. Foram realizadas visitas aos setoresidentificando pacientes com lesão por pressão e as tecnologias utilizadas, e elaboração de planilha de custos e revisamosos métodos de prevenção à lesão por pressão. Foi encontrado um custo médio diário por paciente de R$ 14,24 e umcusto total de R$ 2992,03 para estes tratamentos. O tratamento da lesão por pressão teve um alto custo e exigiu aumentono tempo de internação. A revisão da literatura evidenciou modelos possíveis de serem adotados para atuar na prevençãodas lesões por pressão, os quais podem diminuir o tempo de internação e economizar recursos.Palavras-chave: Lesão por Pressão; Custos e Análise de Custo; Prevenção de Doenças. AbstractThe aim is to estimate the hospital costs of pressure-wound treatment and to review the literature regarding the injuriesprevention. Descriptive and retrospective study, from March to December 2015, including 58 patients, with a total of 87pressure injuries, in a hospital unit in Niterói, Rio de Janeiro. Visits were made to the sectors identifying patients withpressure injury and the used technologies, and elaboration of a cost sheet and we reviewed the pressure injureprevention methods. An average daily cost per patient of R$ 14.24 was found and a total cost of R$ 2992.03 for thesetreatments. The pressure lesion treatment had a high cost and demanded an increase in the hospitalization time. Theliterature review showed possible models to be adopted to act in the pressure injuries prevention, which can reducehospitalization time and save resources.Keywords: Pressure Ulcer; Costs and Cost Analysis; Disease Prevention.

Pharmacoepidemiological Analysis of Pharmacotherapy for Burn Injuries in Real Clinical Practice

2020 ◽  
pp. 70-79
Author(s):  
Olga Vyacheslavovna Zhukova ◽  
Ekaterina Sergeevna Nekaeva ◽  
Elena Sergeevna Khoroshavina ◽  
Ekaterina Alexeevna Kozlova ◽  
Yulia Alexandrovna Dudukina ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Average Cost ◽  
Burn Injury ◽  
General Structure ◽  
Burn Injuries ◽  
Antimicrobial Drugs ◽  
Positive Tendency ◽  
Defined Daily Doses ◽  
Duration Of Hospitalization ◽  
Real Clinical Practice

Objective: to conduct pharmacoepidemiological analysis and analysis of the costs of pharmacotherapy, taking into account the actual consumption of drugs in the real inpatient clinical practice at the federal center in Russia. Materials and methods. Data from the medical records of 14 patients with burn injury, who were hospitalized in 2018, was analyzed. Patients’ age was from 23 to 67 years (44,93 ± 14,66). Duration of hospitalization was from 17 to 62 days (35,93 ± 14,17). We calculated rate of prescription foe each drug and its share in general structure of all utilized drug courses (n = 460). We performed frequency analysis of prescription structure, DDD (defined daily doses) analysis, DU90% (Drug Utilization 90%) analysis, ABC-analysis and analysis of average cost of pharmacotherapy. Results. Most frequently used drugs, prescribed in 75-100% of all hospital cases, included 15 names, e.g. 2 antimicrobial drugs (vancomycin and amikacin), 19 were used commonly, including 4 antimicrobial drugs (co-trimoxazole, cefoperazone/sulbactam, tigecyclin and cefepime). Other drugs were used in less than 25% of cases. 33 drugs made 90% of all consumed NDDD, including 5 antimicrobial drugs (vancomycin, amikacin, co-trimoxazole, cefoperazone/sulbactam and tigecyclin). These drugs comprised 70,24% in the prescription structure. The cost of one DDD in DU90% segments (512,33 rubles) is 1,4 higher than in DU10% segment (649,34 rubles). Average cost of drugs included in DU90% group was 4735,89 rubles vs 4966,80 rubles for drugs from DU10% group. This finding shows positive tendency of burn injuries pharmacological treatment. Conclusion. We obtained the data, which can be used for comparison of real clinical practice costs with a current payment rates for medical care.

scholarly journals Iatrogenic thermal burn after hot water immersion for weever fish sting treatment: a case report

2020 ◽  
Vol 6 ◽  
pp. 205951312094404
Author(s):  
Khairun Izlinda Abdul Jalil ◽  
Muhammad Tayyab Qayyum
Keyword(s):  
Severe Pain ◽  
Burn Injury ◽  
Water Immersion ◽  
Hot Water ◽  
Wound Irrigation ◽  
Thermal Burn ◽  
Main Symptom ◽  
Upper Limit ◽  
Saltwater Fish ◽  
Hot Water Immersion

Introduction: Lesser weever fish are saltwater fish that are found on the Mediterranean and European coasts, over sandy and muddy seabed areas, typically around the summer season. These bottom dwellers have envenoming dorsal spines that sting when stepped on. Severe pain is the main symptom. Initial treatment involves wound irrigation, removal of spines if they are visible and immediate hot water immersion (HWI). Tetanus prophylaxis, leg elevation and analgesia are recommended after pain subsides. HWI treatment is described as immersion of the affected area in hot, but not scalding, water to tolerance (upper limit 45 °C) for 30–90 min or until there is significant pain relief. While HWI is an effective therapy for the pain control of marine envenomation, it presents a potential risk of thermal burn injury in the untrained or unsupervised. Here, we present a case of an iatrogenic thermal burn after HWI for the treatment of a weever fish sting. Case report: A 16-year-old girl was referred to our outpatient department with a superficial dermal thickness burn to her big toe 12 days after accidental stepping on a lesser weever fish. She reported receiving HWI treatment at the scene of the injury. She was treated with dressing, oral antibiotics and leg elevation. This healed with no sequalae at nine-month follow-up. Conclusion: Thermal burn injury can occur after HWI treatment. Providers should be aware and diligent while the patient needs to be educated in the potential risks. Lay Abstract 5, e, s Stings from lesser weever fish occur mostly in the summer months. These bottom dweller saltwater fish are found in the Mediterranean and European coasts, over sandy and muddy seabed areas; it releases venom from its dorsal spine when stepped on. Severe pain is the main symptom. Recommended first aid includes wound irrigation, removal of spines if they are visible and immediate hot water immersion (HWI) treatment. HWI means immersion of the affected part into hot, but not scalding, water (upper limit 45 °C) for 30–90 min or until pain is alleviated. In an ideal situation, the water temperature should be checked with a thermometer. However, in practice, where no thermometer is available, the water must be tested before immersion. It is advised to ensure that the water should be no hotter than the first aider can stand or the highest temperature tolerable by the patient. However, HWI treatment has a potential risk of burn injury. Here we describe a case of a 16-year-old patient who sustained burn injury after HWI therapy received after a sting by a weever fish. The patient was treated with dressings and the wound healed without requiring surgical intervention. Here, we like to highlight that although HWI is effective in treating stings from marine animals, both the provider and the patient need to be aware of potential burn injury associated with this treatment.

Inpatient Data of Occupational Burn Injuries Treated at a Tertiary Burn Center

2019 ◽  
Vol 41 (2) ◽  
pp. 398-401
Author(s):  
Abdulkadir Basaran ◽  
Ozer Ozlu
Keyword(s):  
Hospital Stay ◽  
Burn Injury ◽  
Health And Safety ◽  
Length Of Hospital Stay ◽  
Burn Injuries ◽  
Occupational Accidents ◽  
Cross Sectional ◽  
Work Related ◽  
Burn Center ◽  
Electrical Burns

Abstract Occupational burns are among the important causes of work-related injuries. We aimed to investigate the epidemiology and reasons of occupational burns and thereby to emphasize preventive measures. Between January 2017 and December 2018, the data of major occupational burn injury patients admitted to our burn center were evaluated in this cross-sectional retrospective study. During the study period 342 patients older than 16 years were admitted to the burn center. Among them 80 patients with occupational burns (23.4%) were identified. The mean age of the patients was 34.73 ± 12.3 years. Seventy-eight patients (97.5%) were male. Electrical burns and flame burns were the two leading type of occupational burns. The most common occupation of our patients was construction work. Dangerous behavior, carelessness, lack of protective equipment, and failure to follow instructions were causes of injury. Only 14 patients (17.5%) experienced unavoidable accident. Thirty-seven patients (46.3%) worked on temporary basis. Occupational experience was under 5 years in majority of the cases (62.5%). For the occupational burns the percentage of burned TBSA was 17.08 ± 14.5 (1–60) and the length of hospital stay was 23.94 ± 21.9 days (2–106). There were no significant differences between occupational and nonoccupational burn injuries considering TBSA, total length of hospital stay, and complications (P > .05). Occupational burn injuries are common in less experienced and younger workers. Therefore, recognition of the problem and maintaining awareness is important. In order to prevent occupational accidents and burns, occupational health and safety rules must be obeyed.

scholarly journals Electrical Burns and Their Treatment in a Tertiary Hospital in Albania

2018 ◽  
Vol 6 (5) ◽  
pp. 835-838
Author(s):  
Gentian Zikaj ◽  
Gezim Xhepa ◽  
Nardi Kola ◽  
Sokol Isaraj
Keyword(s):  
Burn Injury ◽  
Demographic Data ◽  
Electrical Current ◽  
Tertiary Hospital ◽  
Burn Injuries ◽  
Number Of Patients ◽  
Electrical Devices ◽  
Improper Use ◽  
Devices And Instruments ◽  
Electrical Burns

INTRODUCTION: The electrical current burns represent a very aggressive pathology that leaves many functional and aesthetic consequences.AIM: To evaluate the epidemiology of electrical burn injury and its associated complications and treatment.MATERIAL AND METHODS: Demographic data, aetiology, burn percentage and other measures related to electrical burn injury of 33 electrical burn patients in a tertiary hospital during the years 2015-2017.RESULTS: The mean age of patients is 31 (± 8.3) years old with a predominance of males (94%). The vast majority of injuries occurred at work (p < 0.01), superior extremities were more affected with hand (21.2%) and fingers (18.2%) being the main point of contact (p < 0.01). Muscular fasciotomy was performed in all patients who were treated surgically (n = 27), amputation was performed in 11 (40.7%) of cases, but amputated sites were more than the number of patients affected. Myoglobinuria (39.4%), cardio-respiratory distress (12.1%) contusion cerebri (6.1%), were the complication encountered in patients.CONCLUSIONS: Electrical burn injuries are still amongst the highest accident-related morbidities. Educating the population about the dangers and hazards associated with improper use of electrical devices and instruments is imperative.

857 Reconstruction of the Pediatric Upper Extremity Following High Voltage Electrical Burn Injury

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S266-S267
Author(s):  
Matthew A Depamphilis ◽  
Ryan Cauley ◽  
Farzin Sadeq ◽  
Robert Sheridan ◽  
Daniel N Driscoll
Keyword(s):  
Upper Extremity ◽  
High Voltage ◽  
Pediatric Patients ◽  
Burn Injury ◽  
Multidisciplinary Treatment ◽  
Small Surface ◽  
Term Function ◽  
Electrical Burns ◽  
Electrical Injuries

Abstract Introduction High voltage electrical burns are often associated with significant morbidity, posing great acute and delayed reconstructive challenges for plastic surgeons. As survival from these injuries increases, attention has been focused on improving quality of life post burn injury through restoration of sensory and motor function. However, due to the complexity of the upper extremity and its small surface area in pediatric patients, its reconstruction can be a very complex endeavor. Especially in pediatric patients that are still growing, ensuing great risk for upper extremity contracture and deformity. Methods A retrospective chart review was conducted on patients aged 0–18 years admitted to our institution with a high voltage electrical burn involving the upper extremity. The timeframe under study was 13 years from January 1st 2005 to December 1st 2018. This project was undertaken at our institution as an exempt project under 45 CFR 46.101 and, as such, it was not formally supervised by an Institutional Review Board. Results Out of the 68 electrical burns treated at our pediatric burn center, 58 involved the upper extremity. This further divides into 37 patients with high voltage and 31 patients with low voltage upper extremity electric burns. Of the 37 high voltage upper extremity patients, 35 underwent acute surgical management and 18 had delayed surgical reconstruction for the upper extremity. Conclusions The reconstructive techniques employed at our institution following severe electrical injuries typically follow a reconstructive ladder. The majority of chronic contractures in our series were successfully treated with either minimally invasive techniques such as laser and steroid infiltration, local tissue flaps, or release and skin grafting. Applicability of Research to Practice Multidisciplinary treatment of severe electrical injuries to the upper extremity is vital to optimizing a patient’s long-term function. Given the significant depth of injury in cases of electrical burns to the upper extremity the risk of developing contractures is relatively high. The expeditious treatment of secondary contractures is important to maximize a patient’s long-term function. The general treatment of contractures of the upper extremity should be based on the location and severity of the contracture, with considerations made for the patient’s reconstructive goals.

scholarly journals The Analysis of the Disease Spectrum in China

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Xin Zhang ◽  
Xiaoping Zhou ◽  
Xinyi Huang ◽  
Shumei Miao ◽  
Hongwei Shan ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Age Of Onset ◽  
Malignant Tumors ◽  
Scientific Basis ◽  
Policy Formulation ◽  
Noncommunicable Diseases ◽  
Dependent Diabetes Mellitus ◽  
Daily Cost ◽  
Disease Spectrum ◽  
Average Daily Cost

Analysis of the related risks of disease provides a scientific basis for disease prevention and treatment, hospital management, and policy formulation by the changes in disease spectrum of patients in hospital. Retrospective analysis was made to the first diagnosis, age, gender, daily average cost of hospitalized patients, and other factors in the First Affiliated Hospital of Nanjing Medical University during 2006–2013. The top 4 cases were as follows: cardiovascular disease, malignant tumors, lung infections, and noninsulin dependent diabetes mellitus. By the age of disease analysis, we found a younger age trend of cardiovascular disease, and the age of onset of cancer or diabetes was somewhat postponed. The average daily cost of hospitalization and the average daily cost of the main noncommunicable diseases were both on the rise. Noncommunicable diseases occupy an increasingly important position in the constitution of the disease, and they caused an increasing medical burden. People should pay attention to health from the aspects of lifestyle changing. Hospitals should focus on building the appropriate discipline. On the other hand, an integrated government response is required to tackle key risks. Multiple interventions are needed to lower the burden of these diseases and to improve national health.

scholarly journals Influence of Government Price Regulation on the Price, Volume and Spending of Antibiotics in China: A Controlled Interrupted Time Series Study

2020 ◽  
Author(s):  
Haishaerjiang Wushouer ◽  
Zhenhuan Luo ◽  
Xiaodong Guan ◽  
Luwen Shi
Keyword(s):  
Time Series ◽  
Interrupted Time Series ◽  
Price Regulation ◽  
Chinese Government ◽  
Positive Trend ◽  
Daily Cost ◽  
Average Hospital ◽  
Intervention Point ◽  
The Impact ◽  
Average Daily Cost

Background: Chinese government established maximum retail prices for antibiotics listed in China’s National Reimbursement List in February 2013. This study aimed to analyze the impact of pharmaceutical price regulation on the price, volume and spending of antibiotics in China. Methods: An interrupted time series design with comparison series was used to examine impacts of the policy changes on average daily cost, monthly hospital purchase volume and spending of the 11 price-regulated antibiotics and 40 priceunregulated antibiotics in 699 hospitals. One intervention point was applied to assess the impact of policy. Results: After government price regulation, compared to price-unregulated antibiotics, the average daily cost of the price-regulated group declined rapidly (β=-5.68, P<.001). The average hospital monthly purchase spending of priceregulated antibiotics also decreased rapidly (β=-0.49, P<.010) and a positive trend change (β=0.04, P<.001) in average hospital spending of price-unregulated antibiotics was found. Conclusion: Government regulation can reduce the prices and spending of price-regulated antibiotics. To control increasing expenditure, besides price caps regulation, factors determining drug utilization also need to be considered in policy designing.

scholarly journals Analysis Of Rat Platelet Count After Electrical Exposure In Acute And Subacute Phase Of Burn Injury

2021 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Fransiska Nooril F P H ◽  
Ulfa Elfiah ◽  
Laksmi Indreswari ◽  
Desie Dwi Wisudanti
Keyword(s):  
Platelet Count ◽  
Burn Injury ◽  
Control Group ◽  
Subacute Phase ◽  
Severe Burns ◽  
Platelet Number ◽  
Important Health ◽  
Electrical Burns ◽  
Post Hoc ◽  
Health Burdens

Electrical burns are one of the causes of important health burdens throughout the world with incidences varying between 4 – 18% of all burns. In electrical burns, blood vessels are the heavily damaged tissue characterized by endothelial erosion, followed by adhesion and aggregation of platelet to form hemostatic plug. The screening test for assesing the formation of a hemostatic plug is platelet count. Platelet count monitoring is very important during the resuscitation phase and treatment periods in severe burns, namely in acute and subacute phase of burns. The purpose of this study is to determine and to analyze about the changes in platelet count of rat after electrical exposure in acute and subacute phase of burns. The control group in this study was not given electrical exposure and rat’s blood was taken directly after the adaptation process. In the other five groups, P1, P2, P3, P4 and P5 were exposed to 140 V for 17 seconds, then their blood was taken for platelet counts on days 0, 3, 7, 10 and 14 post-exposure. The result of this study based on Post Hoc LSD test showed that there was a change of platelet platelet number after exposure in acute phase of burn injury and there was no change of platelet platelet number after exposure in burning subacute phase.

Sign in / Sign up

Export Citation Format

Share Document