Sulong, Saperi and Ramli, Roszalina and Ahmed, Zafar and Muhd Nur, Amrizal and Ibrahim, Mohd Ismail and Rashdi, Muhd Fazlynizam and Nordin, Rifqah and Abd Rahman, Normastura and Yusoff, Azizah and Nazimi, Abd Jabar and Abdul Rahman, Roselinda and Abdul Razak, Noorhayati and Mohamed, Norlen
(2017)
Cost analysis of facial injury treatment in two
university hospitals in Malaysia: a prospective
study.
ClinicoEconomics and Outcomes Research, 2017 (9).
pp. 107-113.
ISSN 1178-6981
Abstract
Objective: 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.
Materials and methods: 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.
Results: 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.
Conclusion: Treatment of FI and FOI imposes a financial burden on the health care system
in Malaysia.
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