ArticleDer Unfallchirurg2021
[Emergency room and major trauma treatment is a "loss-making business" : A Swiss trauma center experience with current DRG reimbursement].
Article in Der Unfallchirurg, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02165137 (Quality Control in the Management of Major Trauma Patients at Aarau Cantonal Hospital - Evaluation of Processes and Patient Outcome), which is not on this map. Cited by 1 paper.
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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.
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.
Quality Control in the Management of Major Trauma Patients at Aarau Cantonal Hospital - Evaluation of Processes and Patient Outcome
Who cites it
1 citing paper in PubMed.
- [Analysis of a differentiated resuscitation room activation at a national trauma center].Unfallchirurgie (Heidelberg, Germany) · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe study objective was to find out how cost-covering the treatment of patients with a potentially severe injury actually is in a Swiss trauma center and to what extent hospital profits/losses correlate with patient-related accident, treatment and outcome variables.
methodsAnalysis of all patients hospitalized in a Swiss trauma center in 2018 following treatment in the emergency room (ER) and/or with a significant injury (new injury severity score, NISS ≥8). Hospital cost-benefit calculation using current Swiss diagnosis-related groups (DRG) and the REKOLE© billing system (univariate and multivariate analysis; p < 0.05).
resultsFrom a hospital point of view, the study cohort (n = 513; Ø NISS = 18) generated a deficit of 1.8 million CHF. This corresponded to a total coverage of 86%, with 66% of cases incurring a loss (71% of statutory insurance vs. 42% of privately insured; p < 0.001). On average, the deficit was 3493 CHF per patient (4545 CHF for statutory insurance vs. 1318 CHF for privately insured; p < 0.001), with a loss also in 63% of inliers and underliers (DRG). The ER cases more frequently caused a financial loss than non-ER cases (73% vs. 58%; p = 0.002) or traumatology vs. neurosurgery cases (72% vs. 55%; p < 0.001). In multivariable analysis 43% of the variance of financial returns were explained by the studied parameters. In contrast, only 11% (adjusted R
conclusionFrom a Swiss trauma center point of view only one third of emergencies are not loss-making, most of all privately insured patients or cases billable via a combined polytrauma and head trauma DRG.
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