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  1. Outcome and cost of trauma among the elderly : A real-life model of a single-payer reimbursement system.

    Article - En anglais

    Background 

    As our population ages, the number of elderly trauma patients (age >=65 years) increases.

    Studies have demonstrated increased mortality and cost for a given injury severity in the elderly compared with younger patients.

    The financial viability of trauma centers in the United States has been an area of concern for many years.

    As reimbursement diminishes for privately insured patients, the ability to finance the care of the indigent is jeopardized.

    Medicare, the single-payer insurance plan for the elderly, reimburses at a lower rate than standard private insurance carriers.

    We examined the differences in outcome and cost between the elderly and younger patients and the financial burden imposed by care for elderly trauma.

    Our hypothesis was that elderly trauma patients would have poorer outcomes, higher cost, and generate greater financial losses than younger patients.

    Methods 

    All patients admitted to the University of Virginia Trauma Service from July 1,1994, to July 1,1997 were included.

    Trauma registry and patients records were examined.

    Patients with incomplete financial data (cost, reimbursement, and payer source) were excluded.

    Patients were grouped by age (18-64 and<65 years), Injury Severity Score, and payer source.

    Results 

    One thousand one hundred twenty-seven patients met the entry criteria.

    One hundred forty patients had incomplete financial or patient data and were excluded. (...)

    Mots-clés Pascal : Traumatisme, Vieillard, Homme, Pronostic, Epidémiologie, Analyse coût, Evaluation, Traumatologie, Système soins

    Mots-clés Pascal anglais : Trauma, Elderly, Human, Prognosis, Epidemiology, Cost analysis, Evaluation, Traumatology

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0512058

    Code Inist : 002B16N. Création : 23/03/1999.