[Cost analysis of clinical treatment of polytrauma patients].
In order to assess the costs arising from the treatment of polytraumatized patients we analysed the data of 100 prospectively studied multiple trauma patients (ISS 38) calculating all medical expenses during their clinical stay. The average cost per patient in the studied group (n = 100) amounted to 63989.- DM. About 65% of this sum derived from the costs of intensive care, while the expenses for operations covered 19%. The group of primarily deceased patients (n = 25) generated the lowest costs of 8468.- DM (per pat.). The highest costs of 95626.- DM were caused by the treatment of patients (n = 32) that developed one or more complications (organ failure) during their stay in the intensive care unit or died (n = 10) during this therapy (101940.- DM). Since the data concerning medical equipment (i.e. surgical devices, radiological equipment) were not centrally registered in the administration department of our clinic, it was not possible to include these costs into this calculation. Thus the total costs must be presumed higher. A relationship between costs of treatment and injury severity (ISS) appeared in polytrauma only by a cost reduction in early deceased very severely injured patients (ISS > 70). The primary diagnosis (injury pattern and severity) cannot predict the incidence of complications increasing the costs of treatment. In the presented study we did not find a correlation between age and treatment costs.(ABSTRACT TRUNCATED AT 250 WORDS)
Ruchholtz
S
S
Chirurgische Klinik und Poliklinik, Ludwig-Maximilians-Universität München.
Nast-Kolb
D
D
Waydhas
C
C
Stuber
R
R
Lewan
U
U
Schweiberer
L
L
D000293:Adolescent; D000328:Adult; D000368:Aged; D003365:Costs and Cost Analysis; D003422:Critical Care / Q000191:economics*; D005260:Female; D005858:Germany; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000191:economics* / Q000628:therapy; D010348:Patient Care Team / Q000191:economics; D011785:Quality Assurance, Health Care / Q000191:economics
Kostenanalyse der klinischen Behandlung polytraumatisierter Patienten.