Creative Commons License 2019 Volume 6 Issue 4

Analyzing the Cost of Care for Burn Injuries and Its Determinants in a University Hospital for Accidents and Burns ‎


Zahra Alsadat Kalantarzadeh, Nayeb Fadaei Dehcheshmeh, Mohammad Hosein Haghighizadeh, Parvin Mohammadi
Abstract

Introduction: Providing care for burn patients is one of the most expensive parts of health care. Acquiring knowledge in this field is the first necessary step for the economic evaluation of the care of patients with burns. Therefore, the purpose of this study was to investigate the relationship between treatment costs and the etiology of burn patients in Taleghani Hospital for Accidents and Burns in Ahvaz. Materials and Methods: This was a descriptive-analytic study conducted at Taleghani Hospital for Accidents and Burns in Ahvaz in 2017. This retrospective study was designed based on the data available in patients' records. Two hundred and sixty two records were selected based on stratified random sampling. The study tool was a researcher-made checklist, and the data were analyzed using descriptive statistics such as percentage, mean and standard deviation, along with t-test, ANOVA, Pearson correlation coefficient and regression. Results: The average cost per patient was 97942891 Rials. There was a significant relationship between the patient's age and treatment costs (P = 0.009 and r = 0.161). The average cost of treating patients with second-degree burns (41186194 Rials) was significantly different from that of third-degree burns (171627024 Rials) (P = 0.000 and t(120.990) = 7.158). There was a direct and significant relationship between treatment costs and length of stay (P = 0.000 and r = 0.874). Conclusion: The results of this study can be of help to hospital managers and policymakers as well as health planners to analyze and control the costs of burn patients. Improving the quality of services, reviewing the care process, implementing treatment protocols, and paying attention to clinical guidelines and timely discharge of the patient can have an impact on reducing the length of stay and the cost of treatment.


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References

Pereira RF, Barrias CC, Granja PL, Bartolo PJ. Advanced biofabrication strategies for skin regeneration and repair. Nanomedicine. 2013;8(4):603-21.

Hop MJ, Polinder S, van der Vlies CH, Middelkoop E, van Baar ME. Costs of burn care: a systematic review. Wound repair and regeneration. 2014;22(4):436-50.

Monstrey S, Hoeksema H, Verbelen J, Pirayesh A, Blondeel P. Assessment of burn depth and burn wound healing potential. burns. 2008;34(6):761-9.

Petrie N, Norbury W, Fogarty B, Philp B, Barrat J, Dziewulski P, editors. The use of the laser Doppler imaging to reduce operative intervention in the treatment of paediatric burns. Abstract book, 12th congress of the International Society for Burn Injuries; 2004: ISBI.

Haikonen K, Lillsunde PM, Lunetta P, Kokki E. Economic burden of fire-related deaths in Finland, 2000–2010: Indirect costs using a human capital approach. Burns. 2016;42(1):56-62.

Sanchez JLA, Bastida JL, Martínez MM, Moreno JMM, Chamorro JJ. Socio-economic cost and health-related quality of life of burn victims in Spain. Burns. 2008;34(7):975-81.

Mandal A. Quality and cost-effectiveness—effects in burn care. Burns. 2007;33(4):414-7.

Eser T, Kavalci C, Aydogan C, Kayipmaz AE. Epidemiological and cost analysis of burn injuries admitted to the emergency department of a tertiary burn center. SpringerPlus. 2016;5(1):1411.

Haikonen K, Lillsunde PM, Vuola J. Inpatient costs of fire-related injuries in Finland. Burns. 2014;40(8):1754-60.

Koç Z, Sağlam Z. Burn epidemiology and cost of medication in paediatric burn patients. Burns. 2012;38(6):813-9.

Sheikhazadi A, Garadaghi J, Ghadyani M. Epidemiology of mortal burns injuries in Tehran. J Forensic Med. 2005;12(3):151-7.

Wanjeri JK, Kinoti M, Olewe TH. Risk factors for burn injuries and fire safety awareness among patients hospitalized at a public hospital in Nairobi, Kenya: A case control study. Burns. 2018;44(4):962-8.

Sadeghi-Bazargani H, Mohammadi R, Svanstrom L, Ekman R, Arshi S, Hekmat S, et al. Epidemiology of minor and moderate burns in rural Ardabil, Iran. Burns. 2010;36(6):933-7.

Gallaher JR, Mjuweni S, Cairns BA, Charles AG. Burn care delivery in a sub-Saharan African unit: a cost analysis study. International Journal of Surgery. 2015;19:116-20.

Hop MJ, Hiddingh J, Stekelenburg CM, Kuipers HC, Middelkoop E, Nieuwenhuis MK, et al. Cost-effectiveness of laser Doppler imaging in burn care in the Netherlands. BMC surgery. 2013;13(1):2.

Rezaei S, Karami Matin B. Direct Cost of Hospitalization Associated with Burn Patients in Imam Khomeini Hospital of Kermanshah , Iran , 2011. Journal of Prevention and Health. 2015;1(1):44-53.

Sahin I, Ozturk S, Alhan D, Açikel C, Isik S. Cost analysis of acute burn patients treated in a burn centre: the Gulhane experience. Annals of burns and fire disasters. 2011;24(1):9.

Kamolz LP, Sendlhofer G, Lumenta D. Future burn care: Balancing the relationship between cost and quality. Wound Repair and Regeneration. 2014;22(4):433-4.

Cheng W, Wang S, Shen C, Zhao D, Li D, Shang Y. Epidemiology of Hospitalized Burns Patients in China: A Systematic Review. Burns Open. 2017.

Alavi SA, Mobayen MR, Tolouei M, Noursalehi I, Gholipour Ag, Gholamalipour N, et al. Epidemiology and outcome of burn injuries in burn patients in Guilan province, Iran. Qom Univ Med Sci J. 2013;7(5):35-41.

Mogharrab M, Sabzehkar F, Sharifzadeh G, Azani M. An epidemiological study of hospitalised patients with burns in Imam Reza hospital in Birjand between2007 and 2013. Journal of Birjand University of Medical Sciences. 2014;21(2):228-36.

Hazar E, İnce AR, Selim Ç, Karagöz N. Cost analysis of service businesses: the cost analysis of hospitalized patients in Numune Hospital burn unit of Sivas. Business & Management Studies: An International Journal. 2014;1(2):156-67.

Zúñiga MFS, Delgado OEC, Merchán-Galvis AM, Caicedo JCC, Calvache JA, Delgado-Noguera M. Factors associated with length of hospital stay in minor and moderate burns at Popayan, Colombia. Analysis of a cohort study. Burns. 2016. 42(1). 165-195.

Torrati FG, Rossi LA, Ferreira E, Dalri MCB, de Carvalho ElC, dos Santos Barbeira CB. Analysis of cost of dressings in the care of burn patients. Burns. 2000;26(3):289-93.


Entomology and Applied Science Letters is an international double-blind peer reviewed publication which publishes scientific research & review articles related to insects that contain information of interest to a wider audience, e.g. papers bearing on the theoretical, genetic, agricultural, medical and biodiversity issues. Emphasis is also placed on the selection of comprehensive, revisionary or integrated systematics studies of broader biological or zoogeographical relevance. In addition to full-length research articles and reviews, the journal publishes interpretive articles in a Forum section, Short Communications, and Letters to the Editor. The journal publishes reports on all phases of medical entomology and medical acarology, including the systematics and biology of insects, acarines, and other arthropods of public health and veterinary significance.

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Entomology and Applied Science Letters supports the submission of entomological papers that contain information of interest to a wider reader groups e. g. papers bearing on taxonomy, phylogeny, biodiversity, ecology, systematic, agriculture, morphology. The selection of comprehensive, revisionary or integrated systematics studies of broader biological or zoogeographical relevance is also important. Distinguished entomologists drawn from different parts of the world serve as honorary members of the Editorial Board. The journal encompasses all the varied aspects of entomological research.