Cost Analysis of 48 Burn Patients in a Mass Casualty Explosion Treated at Chang Gung Memorial Hospital |
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| Institution: | 1. Section of Plastic Surgery, Department of Surgery, The University of Michigan Medical School, United States;2. Department of Plastic and Reconstructive Surgery, Center for Tissue Engineering, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taiwan;3. University of Michigan Medical School, United States;4. Section of Plastic Surgery, Department of Surgery, The University of Michigan Health System, United States;1. Oregon Health & Science University, Department of Surgery, Division of Trauma, Critical Care, and Acute Care Surgery, United States;2. Landstuhl Regional Medical Center, Landstuhl, Germany;3. University of Cincinnati, Department of Surgery, United States;1. Royal Prince Alfred Hospital, Australia;2. Discipline of Emergency Medicine, The University of Sydney, Australia;3. Faculty of Nursing, The University of Sydney, Australia;4. Queenland University of Technology, Australia;5. School of Public Health and Community Medicine, University of New South Wales, Australia;6. The George Institute for Global Health, The University of Sydney, Australia;7. School of Nursing and Midwifery, Flinders University, Australia;1. Southern Illinois Hand Center, Effingham, IL |
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| Abstract: | IntroductionLittle is known about the costs of treating burn patients after a mass casualty event. A devastating Color Dust explosion that injured 499 patients occurred on June 27, 2015 in Taiwan. This study was performed to investigate the economic effects of treating burn patients at a single medical center after an explosion disaster.MethodsA detailed retrospective analysis on 48 patient expense records at Chang Gung Memorial Hospital after the Color Dust explosion was performed. Data were collected during the acute treatment period between June 27, 2015 and September 30, 2015. The distribution of cost drivers for the entire patient cohort (n = 48), patients with a percent total body surface area burn (%TBSA) ≥ 50 (n = 20), and those with %TBSA <50 (n = 28) were analyzed.ResultsThe total cost of 48 burn patients over the acute 3-month time period was $2,440,688, with a mean cost per patient of $50,848 ±36,438. Inpatient ward fees (30%), therapeutic treatment fees (22%), and medication fees (11%) were found to be the three highest cost drivers. The 20 patients with a %TBSA ≥50 consumed $1,559,300 (63.8%) of the total expenses, at an average cost of $77,965 ± 34,226 per patient. The 28 patients with a %TBSA <50 consumed $881,387 (36.1%) of care expenses, at an average cost of $31,478 ± 23,518 per patient.ConclusionsIn response to this mass casualty event, inpatient ward fees represented the largest expense. Hospitals can reduce this fee by ensuring wound dressing and skin substitute materials are regionally stocked and accessible. Medication fees may be higher than expected when treating a mass burn cohort. In preparation for a future event, hospitals should anticipate patients with a %TBSA ≥ 50 will contribute the majority of inpatient expenses. |
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| Keywords: | Cost Analysis Burns Burn care Mass casualty Inpatient hospitalization |
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