Burden and Costs of Severe Burn Injury in Victoria, Australia
Abstract
:1. Introduction
2. Materials and Methods
2.1. Setting
2.2. Study Design
2.2.1. The Victorian State Trauma Registry (VSTR)
2.2.2. Victorian Admitted Episodes Dataset and Victorian Emergency Minimum Dataset
2.2.3. National Coronial Information System
2.3. Analysis
2.3.1. Inpatient Stay and Emergency Department Re-Imbursement
2.3.2. Calculation of Disability-Adjusted Life Years
2.3.3. Economic Burden of Severe Burns
3. Results
3.1. Patient Demographics
3.2. Total Re-Imbursements
3.3. Re-Imbursement by Size of Burn
3.4. Re-Imbursement for Treatment by Year
3.5. Quality of Life and Disability Adjusted Life Years
4. Discussion
4.1. Health-Care Re-Imbursement
4.2. Overall Burden of Injury
4.3. Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variable | % Total Body Surface Area | |||
---|---|---|---|---|
20–29% | 30–39% | 40–89% | All Patients | |
Total N | 148 | 65 | 118 | 331 |
Demographics and injury characteristics | ||||
Died | * Hidden, <10 | 9 (13.85%) | 62 (52.54%) | 74 (22.36%) |
Male sex | 114 (77.03%) | 42 (64.62%) | 90 (76.27%) | 246 (74.32%) |
Patient age category (years) | ||||
16–34 | 57 (38.51%) | 26 (40.00%) | 29 (24.58%) | 112 (33.84%) |
35–64 | 67 (45.27%) | 25 (38.46%) | 70 (59.32%) | 162 (48.94%) |
65+ | 24 (16.22%) | 14 (21.54%) | 19 (16.10%) | 57 (17.22%) |
Length of stay (days), mean (SD) | 26.71 (18.64) | 36.58 (20.34) | 37.23 (42.95) | 32.40 (30.25) |
ICU admission | 69 (46.62%) | 43 (66.15%) | 89 (75.42%) | 201 (60.73%) |
Hours ventilated (If stayed in ICU), median (IQR) | 40.00 (15.00, 194.00) | 176.00 (57.00, 337.00) | 193.00 (13.00, 498.00) | 98.00 (16.00, 312.00) |
Charlson Comorbidity Index (CCI) | ||||
None | 103 (69.59%) | 36 (55.38%) | 79 (66.95%) | 218 (65.86%) |
CCI = 1 | 29 (19.59%) | 20 (30.77%) | 13 (11.02%) | 62 (18.73%) |
CCI > 1 | 16 (10.81%) | 9 (13.85%) | 26 (22.03%) | 51 (15.41%) |
Intentional injury | 17 (11.49%) | 5 (7.69%) | 43 (36.44%) | 65 (19.64%) |
Compensation status | ||||
Not compensable | 123 (83.11%) | 56 (86.15%) | 107 (90.68%) | 286 (86.40%) |
Compensable | 25 (16.89%) | 9 (13.85%) | 11 (9.32%) | 45 (13.60%) |
20–29% TBSA | 30–39% TBSA | 40–89% TBSA | TOTAL | |
---|---|---|---|---|
INITIAL INJURY TREATMENT | ||||
Number of patients | 148 | 65 | 118 | 331 |
Emergency Department (2016 AUD), median (IQR) | $1403 ($873, $1744) | $1364 ($873, $1691) | $1364 ($1250, $2145) | $1403 ($950, $1993) |
Emergency Department (2016 AUD), mean (SD) | $1465 ($661) | $1454 ($591) | $1684 ($887) | $1542 ($745) |
Hospital admission (2016 AUD), median (IQR) | $25,772 ($15,979, $83,028) | $93,173 ($26,120, $138,668) | $78,831 ($2,729, $214,092) | $37,256 ($12,398, $135,633) |
Hospital admission (2016 AUD), mean (SD) | $52,867 ($57,980) | $102,902 ($91,202) | $118,401 ($124,823) | $86,055 ($97,769) |
Total (2016 AUD), median (IQR) | $27,760 ($17,267, $84,476) | $94,405 ($27,523, $139,490) | $79,919 ($4,644, $214,981) | $39,343 ($13,844, $137,452) |
Total (2016 AUD), mean (SD) | $54,292 ($58,177) | $104,312 ($91,357) | $120,085 ($124,899) | $87,570 ($97,913) |
FOLLOW UP TREATMENT WITHIN 2 YEARS OF INJURY | ||||
Number of ED visits, median (IQR) | 0.00 (0.00, 1.00) | 0.00 (0.00, 1.00) | 0.00 (0.00, 0.00) | 0.00 (0.00, 1.00) |
Emergency Department (2016 AUD), median (IQR) | $730 ($375, $1518) | $829 ($380, $1307) | $1087 ($639, $1963) | $789 ($380, $1624) |
Emergency Department (2016 AUD), mean (SD) | $1370 ($2022) | $1167 ($1113) | $1561 ($1466) | $1370 ($1757) |
Number of Hospital admissions, median (IQR) | 1.00 (0.00, 2.00) | 0.00 (0.00, 1.00) | 0.00 (0.00, 2.00) | 0.00 (0.00, 2.00) |
Hospital admission (2016 AUD), median (IQR) | $4648 ($2147, $10,985) | $5732 ($2198, $20,583) | $12,074 ($,5224, $25,659) | $6976 ($2303, $15,249) |
Hospital admission (2016 AUD), mean (SD) | $9343 ($13,519) | $13,226 ($17,230) | $21,129 ($28,105) | $13,376 ($19,841) |
Total (2016 AUD), median (IQR) | $2870 ($1057, $9788) | $ 3947 ($1307, $14,492) | $12,179 ($5160, $22,990) | $5120 ($1461, $13,699) |
Total (2016 AUD), mean (SD) | $8172 ($13,275) | $ 11,163 ($16,756) | $ 20,936 ($28,492) | $11,853 ($19,320) |
Year | Cases with Disability | Total Deaths | Prehospital Deaths | Years of Life Lost (YLLs) | Years Lived with Disability (YLDs) | Disability Adjusted Life Years (DALYs) |
---|---|---|---|---|---|---|
2007 | 52 | 45 | 34 | 933 | 63 | 996 |
2008 | 62 | 54 | 41 | 1027 | 72 | 1099 |
2009 | 64 | 232 | 220 | 4665 | 72 | 4737 |
2010 | 82 | 27 | 21 | 538 | 102 | 640 |
2011 | 65 | 34 | 27 | 612 | 79 | 691 |
2012 | 62 | 33 | 29 | 732 | 73 | 805 |
2013 | 52 | 40 | 31 | 816 | 63 | 879 |
2014 | 56 | 52 | 41 | 962 | 66 | 1028 |
2015 | 58 | 43 | 31 | 778 | 66 | 844 |
2016 | 72 | 37 | 23 | 685 | 81 | 766 |
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Cleland, H.; Sriubaite, I.; Gabbe, B. Burden and Costs of Severe Burn Injury in Victoria, Australia. Eur. Burn J. 2022, 3, 391-400. https://doi.org/10.3390/ebj3030034
Cleland H, Sriubaite I, Gabbe B. Burden and Costs of Severe Burn Injury in Victoria, Australia. European Burn Journal. 2022; 3(3):391-400. https://doi.org/10.3390/ebj3030034
Chicago/Turabian StyleCleland, Heather, Ieva Sriubaite, and Belinda Gabbe. 2022. "Burden and Costs of Severe Burn Injury in Victoria, Australia" European Burn Journal 3, no. 3: 391-400. https://doi.org/10.3390/ebj3030034