The purpose of this study was to provide economic, epidemiologic, and clinical data on initial hospitalizations of patients with firearm injuries.
Concurrent prospective study ; data obtained by medical records review.
A county university teaching hospital designated a level I trauma center.
34,893 persons first hospitalized for firearm injuries at the King/Drew Medical Center in Los Angeles from January 1978 through December 1992.
The aggregate hospital cost for 34,893 firearm injuries, exclusive of professional fees, was $264,506,455.00, of which 96% was borne directly or indirectly by public funds.
The charge for initial hospitalizations was $240,700,855.00.
Mean and median initial charges per case were $6898.00 and $1,022.00, respectively (range, $944.00 to $296,232.00).
The 5% of patients with charges greater than $100,000 accounted for 42% of all charges ; 45% of all patient days were attributable to the 4% patients, with hospitalizations lasting more than 30 days.
Three thousand thirty-one patients were rehospitalized a total of 4,578 times ; charges for rehospitalization totaled $23,805,600.00.
At least 55% (75% of identifiable weapon and missile injuries) of all charges resulted from handgun injuries.
Treating the majority of patients on an outpatient basis and by using selective angiography for extremity wounds, a savings of more than $775,000,000.00 resulted.
Mots-clés Pascal : Traumatisme, Arme à feu, Homme, Californie, Etats Unis, Amérique du Nord, Amérique, Analyse coût, Economie santé, Hôpital
Mots-clés Pascal anglais : Trauma, Fire arm, Human, California, United States, North America, America, Cost analysis, Health economy, Hospital
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0211846
Code Inist : 002B16N. Création : 09/06/1995.