ArticleDer Unfallchirurg2019
[Costs and proceeds from patients admitted via the emergency room with mild craniocerebral trauma].
Article in Der Unfallchirurg, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- [Inpatient treatment costs, cost-driving factors and potential reimbursement problems due to fall-related fractures in patients with Parkinson's disease].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020Pooled it
- [Trauma room workload in German trauma centers : Reality of trauma care underrepresented in reform].Unfallchirurgie (Heidelberg, Germany) · 2025Article
- Saturday Night Fever: Interpersonal Violence as a Reason for Presentation in a University Emergency Department.International journal of environmental research and public health · 2023Article
- Cranial CT is a mandatory tool to exclude asymptomatic cerebral hemorrhage in elderly patients on anticoagulation.Frontiers in medicine · 2023Article
- Seizure related injuries - Frequent injury patterns, hospitalization and therapeutic aspects.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2022Article
- Combined trauma in craniomaxillofacial and orthopedic-traumatological patients: the need for proper interdisciplinary care in trauma units.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Health Economic Challenge: Geriatric Trauma-An Age-Based Observational Analysis of Treatment Costs and Reimbursement Issues.International journal of environmental research and public health · 2022Article
- [Admission diagnosis contusion: etiology, epidemiology and cost-causing factors].Zeitschrift fur Gerontologie und Geriatrie · 2021Article
- [Emergency room and major trauma treatment is a "loss-making business" : A Swiss trauma center experience with current DRG reimbursement].Der Unfallchirurg · 2021Article
- [Inpatient treatment costs, cost-driving factors and potential reimbursement problems due to epileptic seizure-related injuries and fractures].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Article
- [Cost-proceeds deficit of outpatient treatment of head lacerations in the emergency department].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Article
- Influence of Antibiotic Management on Microbial Selection and Infectious Complications After Trauma.Frontiers in medicine · 2021Article
- [Cost factor "outpatient wound care" in the emergency department : Cost-revenue deficit of outpatient wound treatment in a German university hospital].Der Unfallchirurg · 2021Article
- miR-142-3p Expression Is Predictive for Severe Traumatic Brain Injury (TBI) in Trauma Patients.International journal of molecular sciences · 2020Article
- Severe Traumatic Brain Injury (TBI) Modulates the Kinetic Profile of the Inflammatory Response of Markers for Neuronal Damage.Journal of clinical medicine · 2020Article
- [Comparable results after arthroscopic replacement of the anterior cruciate ligament : Clinical and functional results after single bundle and double bundle reconstruction].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The introduction of the diagnosis-related groups (DRG) in 2003 radically changed the billing of the treatment costs. From the very beginning, trauma surgeons questioned whether the introduction of the DRG could have a negative impact on the care of the severely injured. "Trauma centers in need" was the big catchword warning against shortfalls at trauma centers due to the billing via DRG. This situation was confirmed in the first publications after introduction of the DRG, showing a clearly deficient level of care of polytrauma cases. Over the years, adjustments have led to an improvement in the remuneration for polytraumatized patients. In the emergency room, polytrauma is not always the final diagnosis. A considerable proportion of patients are only slightly injured, but must be admitted via the emergency room due to the circumstances of the accident or suspected diagnosis at the scene of the accident to exclude life-threatening injuries. In this study, patients with the billing diagnosis of mild craniocerebral trauma were selected as an example. The proportion of these patients was 22% during the period of observation in 2017. For these patients, the proportional costs during treatment were calculated. It could be shown that 60.36% of the costs during a 2‑day treatment of these patients were incurred in the emergency room. Costs for material and personnel could not be considered. Despite not including these expenses, the costs were never covered for any of these patients. For patients with slight injuries after trauma management in the emergency room, the present adjustments to the DRG system by increasing the basic case value seem to be insufficient. Additional remuneration for these patients seems absolutely justified to further ensure adequate quality of care.
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