Cost analysis of facial injury treatment in two university hospitals in Malaysia: a prospective study

Facial injury (FI) may occur in isolation or in association with injuries to other parts of the body (facial and other injury [FOI]). The objective of this study was to determine the direct treatment costs incurred during the management of facial trauma. A prospective cohort study on treatment cost...

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Bibliographic Details
Published in:ClinicoEconomics and outcomes research 2017-01, Vol.9, p.107-113
Main Authors: Saperi, Bin Sulong, Ramli, Roszalina, Ahmed, Zafar, Muhd Nur, Amrizal, Ibrahim, Mohd Ismail, Rashdi, Muhd Fazlynizam, Nordin, Rifqah, Rahman, Normastura Abd, Yusoff, Azizah, Nazimi, Abd Jabar, Abdul Rahman, Roselinda, Abdul Razak, Noorhayati, Mohamed, Norlen
Format: Article
Language:English
Subjects:
Analysis
Capital costs
Care and treatment
Comparative analysis
Cost analysis
Cost benefit analysis
Departments
Economic aspects
Facial injuries
facial injury
Fatalities
Health care costs
Hospital costs
Injuries
Malaysia
Original Research
Patients
Prevention
road traffic crashes
Safety research
Surgery
Traffic accidents
Traffic accidents & safety
Trauma
university hospitals
Values
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Summary:Facial injury (FI) may occur in isolation or in association with injuries to other parts of the body (facial and other injury [FOI]). The objective of this study was to determine the direct treatment costs incurred during the management of facial trauma. A prospective cohort study on treatment cost for FIs and FOIs due to road-traffic crashes in two university hospitals in Malaysia was conducted from July 2010 to June 2011. The patients were recruited from emergency departments and reviewed after 6 months from the date of initial treatment. Direct cost analysis, comparison of cost and length of hospital stay, and Injury Severity Score (ISS) were performed. A total of 190 patients were enrolled in the study, of whom 83 (43.7%) had FI only, and 107 (56.3%) had FOI. The mean ISS was 5.4. The mean length of stay and costs for patients with FI only were 5.8 days with a total cost of US$1,261.96, whereas patients with FOI were admitted for 7.8 days with a total cost of US$1,716.47. Costs doubled if the treatment was performed under general anesthesia compared to local anesthesia. Treatment of FI and FOI imposes a financial burden on the health care system in Malaysia.
ISSN:1178-6981
1178-6981
DOI:10.2147/CEOR.S119910