Long-term survival and return on investment after nonneurologic injury: implications for the elderly trauma patient

The Journal of Trauma
Ben L ZarzaurTimothy C Fabian

Abstract

As the population of the United States ages and as the healthcare system undergoes significant change, cost effectiveness of care will become more important, particularly for older injured patients. The purpose of this study was to evaluate the cost per 2-year survivor stratified by age after moderate- to severe-nonneurologic injury. The trauma registry from a Level I trauma center was queried for adults (older than 18 years), discharged alive after blunt injury (Injury Severity Score >15), without significant neurologic injury, and with hospital charge data. Survival was determined using the Social Security Death Master File. Patients were stratified by age. Hospital costs were calculated by multiplying hospital charge by the cost to charge ratio. One thousand nine hundred fourteen patients made up the study population. Mean hospital cost per patient was $10,021. Mean cost per 2-year survivor was $10,328. Overall 2-year survival was 97%. (*p < 0.05 vs. youngest). When broken down by age group, there were no significant differences in hospital costs. However, 2-year survival was significantly less in those who were 55.1 years to 75 years old and those older than 75 years, when compared with those aged 18 years to 25 years. Thus...Continue Reading

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Citations

Aug 23, 2012·BMC Health Services Research·Lynsey WillenbergJohn Myburgh
Oct 30, 2013·Clinical Orthopaedics and Related Research·Kushal V PatelMichael L Brennan
Nov 10, 2015·International Journal of Orthopaedic and Trauma Nursing·Barbara ResnickLauren Holtzman
Dec 12, 2012·Anaesthesia·R A Lendrum, D J Lockey
Aug 10, 2011·The Journal of Trauma·Niels D MartinMichael S Weinstein

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