Evidence map›Paper›PMID 31057280›Full record

ArticleJournal of emergencies, trauma, and shock

An Analysis of the Economic Burden of the Trauma Services at a Level 1 Public Sector Trauma Center in South Asia.

Namrata Makkar, Amit Gupta, Shrey Modi, Dinesh Bagaria, Subodh Kumar, Sunil Chumber

Abstract read
In one paragraph

Article in Journal of emergencies, trauma, and shock. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Namrata MakkarDepartment of Hospital Administration, JPN Apex Trauma Centre, New Delhi, India.
Amit GuptaDivision of Trauma Surgery and Critical Care, JPN Apex Trauma Centre, New Delhi, India.
Shrey ModiDepartment of Surgical Disciplines, AIIMS, New Delhi, India.
Dinesh BagariaDivision of Trauma Surgery and Critical Care, JPN Apex Trauma Centre, New Delhi, India.
Subodh KumarDivision of Trauma Surgery and Critical Care, JPN Apex Trauma Centre, New Delhi, India.
Sunil ChumberDepartment of Surgical Disciplines, AIIMS, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncidence of road traffic injuries (RTIs) is increasing and accounting for country's 3% gross domestic product. It is crucial to perform a cost analysis of trauma systems to allocate resources judiciously. AIM AND

objectivesTo study the economic burden of trauma care on the patient attending a level I trauma center including stratification of costs according to injury. MATERIALS AND

methodsThis is a prospective study, with patients of polytrauma (Injury Severity Score >16) admitted in the center. Cost analysis (cost descriptive study) was done by calculating direct costs to hospital by bottom-up microcosting considering fixed and recurrent costs including reference unit prices (RUPs). According to the anatomical site of injuries, major injury groups (MIGs) costs were also analyzed.

resultsThe demographics including mode of injury were similar to other studies. The RUP's and MIG's were defined which represented majority of the sample size. Due to highly subsidized nature of services in this Government institute, the cost to patient is less compared to other countries. Still, the total expenditure incurred by the low-income group was higher than the minimum wages at that time. The creation of plausible RUP's and the grouping of MIG's can help in reducing the costs by targeting and implementing strategic cost reduction measures.

conclusionThe study has shown that microcosting is feasible. Considering the low-income population demanding trauma services, further efforts are required to reduce costs substantially.

Indexed as

Major injury groupsmicrocostingreference unit pricetrauma

Identifiers

PMID31057280
PMCPMC6497000

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.