Comparison of the costs of acute treatment for gunshot and stab wounds : further evidence of the need for firearms control. Discussion.
American Association for the Surgery of Trauma. Annual session. New Orleans LA (USA), 1993/09/23.
Gun control is proposed primarily to decrease the incidence of injury and death from gunshot wounds (GSWs).
We hypothesize that decreasing the number of GSWs will also produce significant economic savings, even if personal violence were to continue at the same rate, maintaining the same overall incidence of penetrating trauma.
We analyzed charges and reimbursements for the treatment for all patients with GSWs (n=1116) and stab wounds (SWs) (n=1529) admitted to a level I trauma center from 1986 through 1992.
Mean and median charges were higher for GSWs ($14,541; $7,541) than for SWs ($6,446; $4,249) (p<0.05).
There was a 12% per year increase in the annual number of GSWs (p=0.001), leading to a disproportionate increase in the annual total charges for GSWs (p=0.013), compared with SWs.
Mots-clés Pascal : Plaie pénétrante, Arme à feu, Arme blanche, Homme, Traitement, Coût, Etude comparative, Etude statistique, Hôpital, Etats Unis, Amérique du Nord, Amérique, Traumatisme
Mots-clés Pascal anglais : Penetrating injury, Fire arm, Side arm, Human, Treatment, Costs, Comparative study, Statistical study, Hospital, United States, North America, America, Trauma
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