Hospital costs associated with pediatric burn injury.
Hospital costs associated with pediatric burn injury.
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DOI：
10.1097/bcr.0b013e31817db951
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发表时间：
2008-07
期刊：
影响因子：
--
通讯作者：
Gibran NS
中科院分区：
文献类型：
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作者：
Klein MB;Hollingworth W;Rivara FP;Kramer CB;Askay SW;Heimbach DM;Gibran NS
现代烧伤护理是一项资源密集型奋进，需要专门的设备、人员和设施，以便提供最佳护理。烧伤对患者和整个社会造成的损失可能是多方面的，而且数额很大。本研究的目的是评估一个地区烧伤中心收治的儿科患者队列中住院费用、患者特征和损伤因素之间的相关性。我们回顾了1994年至2004年在我们烧伤中心住院的儿科患者（年龄<16岁）的住院费用，并探讨了基线患者、损伤和住院过程特征与总费用之间的关系。使用通货膨胀指数和费用与收费比率将医院收费转换为2005年美元成本。进行单变量和多变量回归，以确定与成本最显着相关的因素。此外，我们对烧伤面积超过20%的患者进行了亚组成本分析。在研究期间，共有1443名儿童患者（年龄<16岁）入住我们的烧伤中心。以2005年美元计算的总平均住院费用为9026美元（SD = 25,483美元;中位数= 2138美元）。在多变量分析中，全层烧伤面积是唯一与住院费用显著相关的患者或损伤因素（P <0.05）。当调整总的烧伤面积时，没有单一的解剖区域与增加的住院费用相关。损伤严重程度是影响小儿烧伤后住院费用指数的最重要因素。需要进一步研究确定烧伤的长期社会成本影响，以及评估烧伤对生活质量影响的研究。
Modern burn care is a resource intensive endeavor requiring specialized equipment, personnel, and facilities in order to provide optimum care. The costs associated with burn injury to both patients and society as a whole can be multifaceted and large. The purpose of this study was to evaluate the association between hospital costs, patient characteristics, and injury factors in a cohort of pediatric patients admitted to a regional burn center. We performed a review of the hospital charges accrued by pediatric patients (age <16 years) admitted to our burn center from 1994 to 2004 and explored the relationship between baseline patient, injury and hospital course characteristics and total costs. Hospital charges were converted to 2005 dollar costs using an inflation index and a cost to charge ratio. Univariate and multivariate regressions were performed to identify the factors most significantly associated with cost. In addition, we performed a subset cost analysis for patients with burns more than 20% TBSA. A total of 1443 pediatric patients (age <16) were admitted to our burn center during the study period. The overall mean hospital cost in 2005 dollars was $9026 (SD = $25,483; median = $2138). Area of full thickness burn was the only patient or injury factor significantly associated with greater hospital costs (P < .05) on multivariate analysis. No single anatomic area was associated with increased hospital costs when adjusted for total overall burn size. Injury severity was the most significant factor impacting index hospitalization costs following pediatric burn injury. Further studies defining the long-term societal costs impact of burn injury are needed as are studies that evaluate the impact of burn injury on quality of life.