Navigation Links
Trauma center care cost-effective
Date:8/17/2010

Trauma center care not only saves lives, it is a cost-effective way of treating major trauma, according to a new report from the Johns Hopkins Bloomberg School of Public Health's Center for Injury Research and Policy. Although treatment at a trauma center is more expensive, the benefits of this approach in terms of lives saved and quality of life-years gained outweigh the costs. The study finds that the added cost of treatment at a trauma center versus nontrauma center is only $36,319 for every life-year gained or $790,931 per life saved. This is despite the fact that initial care in trauma centers is 71 percent higher than in nontrauma centers. While previous studies have found trauma center care decreases one's likelihood of dying following injury, this is the most comprehensive study to date to also measure cost-effectiveness. The results are published in the July issue of the Journal of Trauma Injury, Infection and Critical Care.

"In today's economic and health care climates, it is critical to determine whether the benefits of expensive therapies warrant their higher costs," said Ellen MacKenzie, PhD, the Fred and Julie Soper Professor & Chair of the Department of Health Policy and Management at the Bloomberg School of Public Health. "Taken together with our previous work demonstrating the effectiveness of trauma centers in saving lives, the results unequivocally support the need for continued efforts and funding for regionalized systems of trauma care in the United States."

The report found that while trauma center care is cost-effective for all patients taken together, it is of particular value for people with very severe injuries and for those younger than 55 years. The costs per life-year gained are higher for patients with less severe injuries. These results underscore the importance of designing trauma systems that assure that patients are taken to the level of care appropriate to their needs. Taking the less severely injured to a lower level of trauma care will yield lower overall costs and increased efficiency in the system.

"Each year in the United States, more than two million people are hospitalized for treatment of a traumatic injury. Because injuries often happen in children and young adults, the years of potential life lost are significant," said Richard Hunt, MD, director of the Division of Injury Response in the National Center for Injury Prevention and Control at the Centers for Disease Control and Prevention. "We know that getting the most critically injured patients the right care, at the right place, at the right time can help save lives."

To determine cost-effectiveness, the researchers used three metrics: cost per life saved, cost per life-year gained, and cost per quality-adjusted life-year gained (QALY). A total of 5,043 patients contributed to the cost-effectiveness analysis from 69 participating hospitals (18 trauma centers and 51 nontrauma centers) across fourteen states. In addition to care received in the hospital, costs associated with hospital transport, treatment at transferring hospital, rehospitalizations for acute care, inpatient rehabilitation, stays in long-term facilities, outpatient care, and informal care from friends or family members were accounted for when estimating cost. Lifetime costs were modeled using age-specific estimates of per capita personal health expenditures for the general U.S. population and limited data on the impact of specific types of injures on lifetime health care expenditures.

While the value of a year of life is the subject of considerable debate, MacKenzie noted that the cost per life-year saved at a trauma center ($36,319 or $790,931 per life) are "well within an acceptable range of other cost-effective, life-saving interventions reported in the literature." For example, a threshold of $50,000$100,000 per year is often justified based on the cost-effectiveness of renal dialysis.


'/>"/>

Contact: Tim Parsons
tmparson@jhsph.edu
410-955-7619
Johns Hopkins University Bloomberg School of Public Health
Source:Eurekalert

Related medicine news :

1. Scott & White Memorial Hospital uses device to revolutionize treatment of traumatic aortic injury
2. Traumatic Amputations in Children Have High Costs
3. Alcohol Influences How Memorable Trauma Might Be
4. Insurance status of gunshot trauma patients affects mortality outcomes
5. Study says therapeutics for trauma patients may not be effective due to an infection
6. Childrens sense of threat from parental fighting determines trauma symptoms
7. Sanford USD Medical Center Offers Region's First and Only Verified Pediatric Trauma Center
8. Research team documents benefits of endovascular stent repair for traumatic aortic injury
9. Survivors of childhood cancers 4 times more likely to develop post-traumatic stress disorder
10. Trauma-induced changes to genes may lead to PTSD
11. Doctors use ultrasound to diagnose possible muscular trauma in professional athletes on-site
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/23/2017)... ... May 23, 2017 , ... ... exercise professionals, is pleased to announce the organization’s Certified Strength Coach credential has ... Certified Strength Coach (CSC) program validates the competency of qualified candidates for jobs ...
(Date:5/23/2017)... ... May 23, 2017 , ... By all indications, and due to months ... officials call for diligence, asking homeowners to scout for any open water sources that ... with the annoying buzz of mosquitos is the buzz associated with potential infections stemming ...
(Date:5/23/2017)... ... 2017 , ... Diagnotes, an Indianapolis-based digital healthcare communication company, ... secure clinical communication platform. The platform allows clinicians to easily escalate their preferred ... urgency of a situation. , “We know from our daily lives that ...
(Date:5/23/2017)... ... May 23, 2017 , ... New patients with symptoms ... bad breath, can now receive laser gum disease treatments from the doctors at Art ... David Landau are raising awareness of the importance of receiving qualified treatment in order ...
(Date:5/23/2017)... ... 2017 , ... Patients in need of a pulpotomy in Mt. ... appointment, with or without a referral. Dr. Cotey is a respected dental provider of ... a healthy alternative to a tooth extraction. , When a child has a severely ...
Breaking Medicine News(10 mins):
(Date:5/4/2017)...  A new tight-tolerance microextrusion medical tubing product ... is being launched by Natvar, a Tekni-Plex company. ... recent years to service a wide variety of ... expensive materials such as glass and fluoropolymers have ... their ability to consistently hold tolerances. This is ...
(Date:5/3/2017)... 3, 2017  Kalorama Information notes that transplant ... next year and this is projected to continue ... cell (HSCT) or bone marrow transplants require histocompatibility ... well-suited for this task. This according to a ... Information. The various PCR-based methodologies, Sanger sequencing and ...
(Date:5/2/2017)... and LONDON , May ... market intelligence, MarketResearch.com is pleased to announce a business ... that allows for the marketing and distribution of ... through the MarketResearch.com website. The new relationship ... complete product descriptions and tables of contents from research ...
Breaking Medicine Technology: