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  1. Financial aspects of providing trauma care at the extremes of life.

    Article - En anglais

    Background 

    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.

    Methods 

    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.

    Results 

    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).

    Conclusion 

    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

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

    Cote : 99-0207080

    Code Inist : 002B30A01A2. Création : 16/11/1999.