Citation

Amanollahi A, Hoseini Kasnavieh M, Tavakoli N, Veysi M, Tahmasebi A. Iran. J. Public Health 2019; 48(9): 1753-1755.

Affiliation

Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.

Copyright

(Copyright © 2019, Tehran University of Medical Sciences)

DOI

unavailable

PMID

31700838

Abstract

This cross-sectional analytical study was conducted from Apr to Sep 2017 on 2933 people injured in west Tehran's inner-city (811; 27.6%) and south of the intercity (2122; 72.4%) Road Traffic Injuries (RTIs). Ethical code of this study was approved in Iran University of Medical Sciences. The injured treated as outpatients and those who stayed in the hospital less than six hours were excluded, and only the patients who received medical services as inpatients were included in the study. The cost of medical services, the length of hospital stays and the factors affecting them were compared between the two hospitals. The distribution of data was abnormal. Multi regression analyses were done after data transformation (log) and normalization. Patients' Length of Stay (LOS) differed between two groups. (Trauma center 8.7 vs. general hospital 7.2 P=0.03). The median of the total costs of medical services provided to the hospitalized patients (Table 1) was 3915 $ in the trauma center and 9167 $ in the general hospital. Mann-Whitney's U-test showed the costs incurred in these two hospitals (P<0.001). Table 2 presents the beta coefficients for the significant variables of the multiple linear regression. In the regression modeling for determining the factors affecting the total hospital costs, the variables included in the model estimated 82% of the costs, and the costs of physiotherapy, radiology and sonography, operating room and orthopedic equipment, surgeon's fees, LOS and bed and services had the highest impact. The cost of treatment incurred by patients was 34,160 Euros in slight accidents and 121,925 Eu-ros in serious accidents; ultimately, the cost of the accident was proportional to the number of injured limbs (1). Mean cost of serious accidents was four t​i​m​es …

Language: en