Cost analysis and related factors in patients with traumatic hand injury

Abstract

The aim of this study was to measure the direct and indirect costs and factors influencing these costs in patients presenting following traumatic hand injury. We assessed patients aged 18-65 years who were in work. Hand injury severity and functional status were assessed. Direct costs, including medical care expenses, and indirect costs, including lost productivity, were calculated. Seventy-nine patients of a mean age of 32 years were included. The mean direct cost for each patient was $1772 (47% of total cost), and the indirect cost was $1891 (53% of total cost). Injury severity, time to return to work, and hospitalization time were the main parameters of increased total cost in a linear regression analysis.

Description and cost‐analysis of emergency department attendances for hand and wrist injuries

“…We have shown that these injuries are associated with a considerable volume of visits (over 5% of all ED visits) within the health network. This finding is significantly less than the estimated 10–30% proposed in international literature . One possible explanation for our finding is that we conducted our study from the perspective of one health network.…”

“…Injuries to the hand and wrist are common, with reports suggesting that they account for between 10% and 30% of all ED presentations, and typically affect young and economically productive populations . Although most uncomplicated injuries will recover fully, accurate assessment and treatment are vital as mismanagement can result in delayed recovery and potential long‐term disability at a significant cost to the individual, healthcare system and society …”

Acil Servise Bașvuran El ve El Bileği Yaralanmalı Hastaların Maliyetlerinin İncelenmesi

“…Ülkemizde yapılan farklı çalışmalarda olguların %32,8-72,1'inin iş kazası, %19-25'inin ev kazaları, %8,5-9'unun ise kendine zarar verme sonucu geliş-tiği belirtilmiştir (2,5,9). Putter ve arkadaşları (13) Hollanda'da yaptıkları çalışmada maliyeti en yüksek olan yaralanma sebebini ev kazaları olarak tanım-lamışlardır.…”

“…El ve el bileği yaralanmaları yaygın olarak görülen bir sağlık problemidir. Acil servis başvu-rularının yaklaşık %10-20'sini ve tüm yaralanmaların yaklaşık %6.6-28.6'sını oluşturmaktadır (3)(4)(5). Yaralanmaların çoğu erkeklerde ve aktif çalışan yaş aralığında görülmektedir.…”

“…Yaralanmaların çoğu erkeklerde ve aktif çalışan yaş aralığında görülmektedir. Yaralanma çeşitleri, yumuşak doku yaralanması ve basit kesilerden, komplike kesiler (tendon sinir yaralanması), kırıklar ve amputasyonlara kadar geniş bir yelpazede görülebilmektedir (5). Komplike yaralanması olmayan birçok hastada tam iyileşme görülürken, bazı hastalarda uzun bir tedavi ve rehabilitasyon sü-reci gerekmektedir.…”