Karimi H, Motevalian S A, Momeni M, Ghadarjani M
Plastic and Reconstructive Surgery Department, Burn Surgery Department, Motahary Burn Hospital, Burn Research Center, Iran University of Medical Sciences, Tehran, Iran.
Department of Epidemiology, Iran University of Medical Sciences.
Ann Burns Fire Disasters. 2015 Dec 31;28(4):310-314.
Understanding the cost of burn treatment is very important for patients, their families, governmental authorities and insurance companies. It alleviates patient and familial stress, provides a framework for better use of resources, and facilitates better performance between burn centers. Hospital burn costs can provide a basis for authorities to budget for acute burn treatment, for further management of chronic complications, and for planning prevention and public educational programs in Iran. To identify costs we used data from our burn registry program. Over the two-year assessment period, we treated roughly 28,700 burn patients, 1,721 of whom were admitted, with a mortality rate of 5.9%. The male to female ratio was 1.7:1 (63% male; 37% female). Flame burns were most frequent (49.8%) followed by scalds (35.7%). Mean hospital stay was 14.41 days (range 0-64 days). Mean TBSA was 17.39%. Skin grafts were carried out in 65.4% of the patients, with a mean of 5.2 surgeries per patient. The total cost of all patient admissions over the two years was US$ 4,835,000. The maximum treatment cost for one patient was US$ 91,000. The mean cost per patient was US$ 2,810 (29,500,000 Rials). The mean cost for each percent of burn was US$ 162. The mean cost for a one-day stay in hospital was US$ 195. The mean cost of each operation was US$ 540. Patients who contracted infections endured longer hospital stays, meaning increased costs of US$ 195 per day. With comparable outcome and results, the cost of burn treatment in Iran is cheaper than in the US and Europe.
了解烧伤治疗成本对患者及其家属、政府当局和保险公司都非常重要。它减轻了患者和家庭的压力，为更好地利用资源提供了框架，并促进了烧伤中心之间的更好表现。医院烧伤成本可为伊朗当局为急性烧伤治疗、慢性并发症的进一步管理以及预防和公共教育项目的规划编制预算提供依据。为了确定成本，我们使用了烧伤登记项目的数据。在为期两年的评估期内，我们共治疗了约28700名烧伤患者，其中1721人住院，死亡率为5.9%。男女比例为1.7:1（男性占63%；女性占37%）。火焰烧伤最为常见（49.8%），其次是烫伤（35.7%）。平均住院天数为14.41天（范围为0 - 64天）。平均烧伤总面积为17.39%。65.4%的患者接受了皮肤移植，每位患者平均进行了5.2次手术。两年内所有患者住院的总成本为483.5万美元。一名患者的最高治疗成本为9.1万美元。每位患者的平均成本为2810美元（2950万里亚尔）。每百分烧伤面积的平均成本为162美元。住院一天的平均成本为195美元。每次手术的平均成本为540美元。感染患者的住院时间更长，这意味着每天成本增加195美元。在结果相当的情况下，伊朗的烧伤治疗成本比美国和欧洲更低。
