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烧伤中心急性烧伤患者的成本分析:古勒汗医院的经验。

Cost analysis of acute burn patients treated in a burn centre: the Gulhane experience.

作者信息

Sahin I, Ozturk S, Alhan D, Açikel C, Isik S

机构信息

Gulhane Military Medical Academy, Plastic, Reconstructive and Aesthetic Surgery Department, Ankara, Turkey.

出版信息

Ann Burns Fire Disasters. 2011 Mar 31;24(1):9-13.

Abstract

Even if calculating the exact cost of burn treatment is a very hard task, the study of cost analysis provides financial perspective. We performed a cost analysis study in our burn centre to respond to questions about total patient treatment cost and the length of hospital stay. We reviewed all patients admitted to the Gulhane Military Medical Academy Burn Centre in Ankara, Turkey, between March 2005 and August 2008. Forty-three patients with major burns were identified on the basis of the study criteria. The data regarding total treatment cost and the length of hospital stay for each type of burn (flame, scald, electric) were collected at the end of the study. The average total body surface area burned was 36 ± 7%.. The average duration of hospital stay was 73 ± 33 days. Patients with electrical burns stayed longer in hospital than patients with other types of burn injuries. Each one per cent of burn corresponded to a mean hospital stay of two days. The overall mean total cost was $US 15,250. The mean total cost of electrical burns was the highest, with $US 22,501 ± 24,039. Even if the costs associated with burn injury are higher than some other well-known health-related problems, they have not been much studied. Reports have produced different results, but it should be kept in mind that although the results of cost analysis studies may vary they must be performed in all newly established burn centres in order to form a financial overview.

摘要

即便计算烧伤治疗的确切费用是一项非常艰巨的任务,但成本分析研究能提供财务视角。我们在烧伤中心开展了一项成本分析研究,以回答有关患者总体治疗费用和住院时长的问题。我们回顾了2005年3月至2008年8月期间收治于土耳其安卡拉古尔汗军事医学院烧伤中心的所有患者。根据研究标准确定了43例重度烧伤患者。在研究结束时收集了每种烧伤类型(火焰烧伤、烫伤、电烧伤)的总体治疗费用和住院时长数据。烧伤的平均体表面积为36±7%。平均住院时长为73±33天。电烧伤患者的住院时间比其他类型烧伤患者更长。每1%的烧伤对应平均住院两天。总体平均总成本为15250美元。电烧伤的平均总成本最高,为22501±24039美元。即便与烧伤相关的费用高于其他一些知名的健康相关问题,但对其研究并不多。报告得出了不同结果,但应记住,尽管成本分析研究的结果可能不同,但所有新建的烧伤中心都必须开展此类研究,以便形成财务概况。

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