John H. Davis scientific symposium. Stowe VT USA, 1994/06/25.
To develop a statistically valid method for trauma reimbursement and quality assurance (QA) length-of-stay filters.
This is needed because diagnosis related group (DRG) - based trauma payment systems assume a random sampling of injury severities from a normally distributed population and thus result in economic disincentives to level I trauma centers.
142 trauma patients with MVC blunt multisystem injuries (MSI) (ISS=16) were studied concurrently during their hospital course.
Level I regional trauma center.
Outcome measures were (dependent variables) length of stay (LOS) and state-approved hospital charges (COST).
Mean acute care COST was $74,310, but the distribution of COST was log normal, rather than Gaussian normal as assumed by DRGs.
Mots-clés Pascal : Polytraumatisme, Homme, Analyse coût, Economie santé, Hospitalisation, Durée, Unité soin intensif, Modèle prévision, Accident, Traumatisme, Facteur prédictif
Mots-clés Pascal anglais : Multiple injury, Human, Cost analysis, Health economy, Hospitalization, Duration, Intensive care unit, Forecast model, Accident, Trauma, Predictive factor
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0087382
Code Inist : 002B16K. Création : 09/06/1995.