Reduced length of stay in hospital for burn patients following a change in practice guidelines: financial implications

Journal of Burn Care & Research : Official Publication of the American Burn Association
Leigh A JansenAnthony Papp

Abstract

The objective of this study was to analyze the financial implications of the implementation of new institutional practice guidelines including greater outpatient care and earlier operative intervention in a provincial burn center. A retrospective review was performed including all patients admitted to the Burn Unit with burns up to 20% TBSA between August 2005 and July 2009, including 2 years before and after the new guidelines were introduced. Daily costs for the burn unit were used to calculate this portion of cost. Length of stay (LOS) was based on actual data and representative clinical scenarios. Two hundred sixty-four patients were included. Mean LOS decreased from 10.3 to 3.9 (P < .01) and 21.0 to 13.3 (P > .05) for nonoperative burns 0 to 10% and 10 to 20% TBSA, respectively. Mean LOS for operative burns decreased from 16.6 to 12.9 and 32.3 to 29.8 days for 0 to 10% and 10 to 20% TBSA, respectively (P > .05). Burn patient management requires significant financial resources, and LOS has a large impact on cost. Given per diem rates of Can$1,663, scenario analysis shows potential cost savings of Can$19,956 per patient for operative and nonoperative burns <20% TBSA. With an average of 66 such patients treated each year, pot...Continue Reading

References

Jan 16, 1998·Burns : Journal of the International Society for Burn Injuries·J StillD Thiruvaiyaru
Feb 24, 1999·JAMA : the Journal of the American Medical Association·R R RobertsR J Rydman
Jan 13, 2000·JAMA : the Journal of the American Medical Association·R L SheridanR G Tompkins
Aug 17, 2000·Journal of the American College of Surgeons·P A TaheriL J Greenfield
Aug 17, 2000·Journal of the American College of Surgeons·J S Barkun
Jun 14, 2001·The Journal of Burn Care & Rehabilitation·L C YurkoR B Fratianne
Nov 24, 2004·Burns : Journal of the International Society for Burn Injuries·Clifford PereiraDavid Herndon
Mar 29, 2006·Journal of Burn Care & Research : Official Publication of the American Burn Association·Daniel A Peters, Cynthia Verchere
May 1, 2007·Burns : Journal of the International Society for Burn Injuries·Anirban Mandal
Nov 17, 2009·Plastic and Reconstructive Surgery·Sandra V Kotsis, Kevin C Chung
Dec 7, 2010·Burns : Journal of the International Society for Burn Injuries·Demetris StavrouJoseph Haik

❮ Previous
Next ❯

Citations

Nov 21, 2013·Burns : Journal of the International Society for Burn Injuries·Steven E Wolf, Brett D Arnoldo
Aug 3, 2014·The Surgical Clinics of North America·Petra M WarnerCharles J Yowler
Jul 22, 2014·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·M Jenda HopMargriet E van Baar
Aug 25, 2016·Revista da Escola de Enfermagem da U S P·Michel Marcos DalmedicoMichelle Caroline Santos
May 25, 2013·Journal of Burn Care & Research : Official Publication of the American Burn Association·Virve KoljonenRisto P Roine
Mar 6, 2018·The International Journal of Lower Extremity Wounds·Philipp JansenJoachim Dissemond
Feb 17, 2021·Journal of Burn Care & Research : Official Publication of the American Burn Association·Nicholas J PrindezeLaura S Johnson
Jul 15, 2020·Burns : Journal of the International Society for Burn Injuries·Kevin J NickelAnthony Papp
Oct 15, 2021·Journal of Burn Care & Research : Official Publication of the American Burn Association·Zach ZhangAnthony Papp

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Burns : Journal of the International Society for Burn Injuries
Chris S Ahn, Peter K M Maitz
Journal of Burn Care & Research : Official Publication of the American Burn Association
Sarah E MattMarion H Jordan
Burns : Journal of the International Society for Burn Injuries
Morteza TaghaviMorteza Abdollahi
Critical Care Nursing Clinics of North America
Lee S Moss
© 2022 Meta ULC. All rights reserved