BACKGROUND: Although the prevalence of trauma in the United States is high, data on the economic burden of this public health problem to third-party payors is limited. METHODS: Retrospective claims from a large health plan were analyzed for 12,615 adults (age >or=18 years) hospitalized for blunt or penetrating trauma between January 1, 2003 and February 1, 2005. Per patient charges were estimated for resources utilized during a 6-month period before and after initial injury. Continuous health plan enrollment during these periods was required. Three cohorts were examined: isolated traumatic brain injury (TBI); other trauma with TBI (trauma w/TBI); and other trauma without TBI (trauma w/o TBI). Patients were also stratified by Injury Severity Score (ISS) and trauma designation of the admitting hospital. RESULTS: Initial hospitalization charges ranged from $32,627 for isolated TBI to $103,667 for trauma w/TBI. Charges for initial hospitalization were highest ($199,443) among patients with the most severe injuries. Overall, initial hospitalization charges were highest among those admitted to Level I trauma centers ($68,626); for trauma w/TBI, however, initial hospitalization charges were highest among those admitted to nontrauma centers ($130,997). Charges incurred during postdischarge medical encounters ranged from $16,361 for isolated TBI to $23,761 for trauma w/TBI. Increased charges for postdischarge encounters compared with the 6-month preinjury period ranged from $6,756 for isolated TBI to $19,771 for trauma w/TBI. CONCLUSIONS: The economic burden of blunt and penetrating trauma to third-party payors is high. Efforts to reduce the incidence of trauma may result in substantial economic savings to managed care systems.
BACKGROUND: Although the prevalence of trauma in the United States is high, data on the economic burden of this public health problem to third-party payors is limited. METHODS: Retrospective claims from a large health plan were analyzed for 12,615 adults (age >or=18 years) hospitalized for blunt or penetrating trauma between January 1, 2003 and February 1, 2005. Per patient charges were estimated for resources utilized during a 6-month period before and after initial injury. Continuous health plan enrollment during these periods was required. Three cohorts were examined: isolated traumatic brain injury (TBI); other trauma with TBI (trauma w/TBI); and other trauma without TBI (trauma w/o TBI). Patients were also stratified by Injury Severity Score (ISS) and trauma designation of the admitting hospital. RESULTS: Initial hospitalization charges ranged from $32,627 for isolated TBI to $103,667 for trauma w/TBI. Charges for initial hospitalization were highest ($199,443) among patients with the most severe injuries. Overall, initial hospitalization charges were highest among those admitted to Level I trauma centers ($68,626); for trauma w/TBI, however, initial hospitalization charges were highest among those admitted to nontrauma centers ($130,997). Charges incurred during postdischarge medical encounters ranged from $16,361 for isolated TBI to $23,761 for trauma w/TBI. Increased charges for postdischarge encounters compared with the 6-month preinjury period ranged from $6,756 for isolated TBI to $19,771 for trauma w/TBI. CONCLUSIONS: The economic burden of blunt and penetrating trauma to third-party payors is high. Efforts to reduce the incidence of trauma may result in substantial economic savings to managed care systems.
Authors: Craig D Newgard; Zhuo Yang; Daniel Nishijima; K John McConnell; Stacy A Trent; James F Holmes; Mohamud Daya; N Clay Mann; Renee Y Hsia; Tom D Rea; N Ewen Wang; Kristan Staudenmayer; M Kit Delgado Journal: J Am Coll Surg Date: 2016-03-03 Impact factor: 6.113
Authors: M Kit Delgado; Kristan L Staudenmayer; N Ewen Wang; David A Spain; Sharada Weir; Douglas K Owens; Jeremy D Goldhaber-Fiebert Journal: Ann Emerg Med Date: 2013-04-09 Impact factor: 5.721
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Authors: R Raj; S Bendel; M Reinikainen; S Hoppu; R Laitio; T Ala-Kokko; S Curtze; M B Skrifvars Journal: Crit Care Date: 2018-09-20 Impact factor: 9.097
Authors: Lynsey Willenberg; Kate Curtis; Colman Taylor; Stephen Jan; Parisa Glass; John Myburgh Journal: BMC Health Serv Res Date: 2012-08-21 Impact factor: 2.655