Wittemann M, Jung A, Hornung R, Germann G
Abteilung für Verbrennungen, Plastische und Handchirurgie, Berufsgenossenschaftlichen Unfallklinik Ludwigshafen.
Chirurg. 1994 Nov;65(11):1004-7.
A study was carried out involving 167 patients who had received primary treatment in alio loco for injuries diagnosed as 'minor cuts, twists and sprain', and who were then seen in the out-patient department at a later date. The patient group was analyzed with regard to the following: a more precise identification of the initial injury, the initiated treatment regimen and more particularly, the socio-economic consequences of the injury. Duration of treatment programmes, loss of working days and compensatory payments were cost-analyzed. The results showed that a delayed primary surgical intervention was possible in only 17% of cases, it was necessary to alter the treatment regimen in 29% and in 28% it was no longer realistic even to initiate treatment. Comparisons between this population and a group of a patients who had received adequate primary care showed that in the study group length of treatment and days lost at work was prolonged by the factor 1.3; furthermore the number of cases in which the reduction of working ability was 20% and more was increased by 2.7. Increased costs incurred by financial compensations were approx. DM 27,000/patient.
一项研究涉及167名患者，他们曾在外地接受过针对诊断为“轻微割伤、扭伤和拉伤”的损伤的初步治疗，随后在门诊接受复诊。对患者组进行了以下分析：更精确地确定初始损伤、启动的治疗方案，更具体地说，是损伤的社会经济后果。对治疗方案的持续时间、工作日损失和赔偿金进行了成本分析。结果表明，仅17%的病例可能进行延迟的一期手术干预，29%的病例需要改变治疗方案，28%的病例甚至不再适合启动治疗。将该人群与一组接受了充分初级护理的患者进行比较，结果显示，研究组的治疗时长和工作天数损失延长了1.3倍；此外，工作能力下降20%及以上的病例数增加了2.7倍。经济赔偿产生的额外费用约为每位患者27,000德国马克。
