Financial implications of trauma patients at a Canadian level 1 trauma center: a retrospective cohort study

Autor: Kednapa Thavorn, Peter Glen, Adam M Fontebasso, Sonshire Figueira, Jacinthe Lampron, Maher Matar
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Trauma Surgery & Acute Care Open, Vol 5, Iss 1 (2020)
Druh dokumentu: article
ISSN: 2020-0005
2397-5776
DOI: 10.1136/tsaco-2020-000568
Popis: Background Trauma is a cause of significant morbidity and mortality globally, and patients with major trauma require specialized settings for multidisciplinary care. We sought to enumerate the variability of costs of caring for patients at a Canadian level 1 trauma center.Methods A retrospective analysis of all adult patients admitted to The Ottawa Hospital trauma service between June 2013 and June 2018 was conducted. Hospital costs and clinical data were collected. Descriptive statistics and multivariable regression analysis using generalized linear model were performed to assess cost variation with patient characteristics. Quintile-based analyses were used to characterize patients in different cost categories. Hospital costs were reported in 2018 Canadian dollars.Results A total of 2381 admissions were identified in the 5-year cohort. The mean age of patients was 50.2 years, the mean Injury Severity Score (ISS) was 18.7, the mean Charlson Comorbidity Index (CCI) score was 0.35, and the median total cost was $10 048.54. ISS and CCI score were associated with higher costs (ISS >15; p
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