Structure and influence factors of treatment cost on severe burns patients.
Main Article Content
Abstract
This study analyzed the structure and determined the factors affecting the cost of treatment for severe burns patients. The results showed that the average total cost for a patient was 75.3 million VND. Which, the rate of health insurance cost accounted for 58.1%. The daily cost of hospitalization was 2.6 million VND, the cost for 1% BSA was 2.5 million VND.
The drugs and supplies accounted for the largest fraction of the total costs (43.2%), followed by surgery and procedures (30.2%). The costs increased with increasing age, burn extent and deep burn area (p < 0.05) and were significantly higher in the group of patients with inhalation injury, electrical burns and non-survivors (p < 0.01). Multivariate regression analysis found that burn extent, deep burn area and inhalation injury independently influenced the cost of treating burn patients.
Article Details
Keywords
Burn, treatment cost
References
2. Farina Jr A., de Almeida C., Barros M., et al. (2014) Reduction of mortality in burned patients: a multifactorial approach. Rev Bras Queimaduras, 13 (1), 2-5.
3. Lee K. C., Joory K., Moiemen N. S. (2014) History of burns: The past, present and the future. Burns & Trauma, 2 (4), 2321-3868.143620.
4. Anami E. H., Zampar E. F., Tanita M. T., et al. (2017) Treatment costs of burn victims in a university hospital. Burns, 43 (2), 350-356.
5. Sanchez J. L. A., Bastida J. L., Martínez M. M.et al. (2008) Socio-economic cost and health-related quality of life of burn victims in Spain. Burns, 34 (7), 975-981.
6. Jeevan R., Rashid A., Lymperopoulos N., et al. (2014) Mortality and treatment cost estimates for 1075 consecutive patients treated by a regional adult burn service over a five-year period: the Liverpool experience. Burns, 40 (2), 214-222.
7. Haikonen K., Lillsunde P. M., Vuola J. (2014) Inpatient costs of fire-related injuries in Finland. Burns, 40 (8), 1754-1760.
8. Ahn C. S., Maitz P. K. (2012) The true cost of burn. Burns, 38 (7), 967-974.
9. Ahuja R. B., Goswami P. (2013) Cost of providing inpatient burn care in a tertiary, teaching, hospital of North India. Burns, 39 (4), 558-564.
10. Sahin I., Ozturk S., Alhan D., et al. (2011) Cost analysis of acute burn patients treated in a burn centre: the Gulhane experience. Annals of burns and fire disasters, 24 (1), 9.
11. Holmes IV J. H. (2008) Critical issues in burn care. Journal of Burn Care & Research, 29 (suppl_2_pt_6), S180-S187.
12. Koljonen V., Laitila M., Rissanen A. M., et al. (2013) Treatment of patients with severe burns-costs and health-related quality of life outcome. Journal of Burn Care & Research, 34 (6), e318-e325.