The variation of acute treatment costs of trauma in high-income countries

摘要: In order to assist health service planning, understanding factors that influence higher trauma treatment costs is essential. The majority of costing research reports the cost from perspective receiving hospital. There has been no comprehensive synthesis and little assessment drivers variation, such as country, trauma, subgroups methods. aim this review provide a reporting associated with in high income countries. A systematic search for articles relating acute care was performed included studies injury severity scores (ISS), per patient cost/charge estimates; Cost charge values were indexed 2011 equivalents converted US dollars using purchasing power parities. total twenty-seven reviewed. Eighty-one percent these conducted countries including USA, Australia, Europe UK. Studies either reported (74.1%) or estimate (25.9%) trauma. Across studies, median $22,448 (IQR: $11,819-$33,701). However, there variability methods used 18% providing Sixty-three items incorporated their analysis 52% excluded analysis. all publications reviewed, predictors Injury Severity Score surgical intervention, hospital intensive care, length stay, polytrauma age. than other disease groups. Research largely exists well actual costs. Patient populations studied employed are primary Targeted into required facilitate informed planning.