Children and the elderly are more likely to be underinsured compared with the general population of trauma patients.
We performed financial analysis on all trauma patients admitted during an 18-month period to a Level I adult and pediatric trauma center to evaluate the financial impact of providing trauma care for children and the elderly.
Patients were categorized by age : PEDI<17 years, GERI>64 years and MID=17 to 64 years.
Reimbursement ratio (RR=reimbursement/cost ; RR>1=profit, RR<1=loss), length of stay (LOS), and Injury Severity Score (ISS) were calculated for each age group.
RR for GERI (RR=0.99) was significantly lower than for PEDI (RR=1.15) and MID (RR=1.16).
There was no difference in ISS, but the LOS of GERI was greater than that of PEDI and MID (p<0.05).
Cost per patient and LOS were less in PEDI versus MID and GERI (p<0.05).
Trauma care reimbursement for the elderly is inadequate, whereas pediatric trauma care costs less to deliver and is profitable to the trauma center.
Mots-clés Pascal : Traumatisme, Enfant, Homme, Personne âgée, Epidémiologie, Traitement, Traumatologie, Analyse coût, Remboursement
Mots-clés Pascal anglais : Trauma, Child, Human, Elderly, Epidemiology, Treatment, Traumatology, Cost analysis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0207080
Code Inist : 002B30A01A2. Création : 16/11/1999.