IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0227131.html
   My bibliography  Save this article

Medical and productivity costs after trauma

Author

Listed:
  • A J L M Geraerds
  • Juanita A Haagsma
  • L de Munter
  • N Kruithof
  • M de Jongh
  • Suzanne Polinder

Abstract

Background: Well-advised priority setting in prevention and treatment of injuries relies on detailed insight into costs of injury. This study aimed to provide a detailed overview of medical and productivity costs due to injury up to two years post-injury and compare these costs across subgroups for injury severity and age. Methods: A prospective longitudinal cohort study followed all adult (≥18 years) injury patients admitted to a hospital in Noord-Brabant, the Netherlands. Patients filled out questionnaires 1 week, 1, 3, 6, 12 and 24 months after trauma, including items on health care consumption from the medical consumption questionnaire (iMCQ) and productivity loss from the productivity cost questionnaire (PCQ). Furthermore, injury severity was defined by Injury Severity Score (ISS). Data on diagnostics was retrieved from hospital registries. We calculated medical costs, consisting of in-hospital costs and post-hospital medical costs, and productivity costs due to injury up to two years post-injury. Results: Approximately 50% (N = 4883) of registered patients provided informed consent, and 3785 filled out at least one questionnaire. In total, the average costs per patient were €12,190. In-hospital costs, post-hospital medical costs and productivity costs contributed €4810, €5110 and €5830, respectively. Total costs per patient increased with injury severity, from €7030 in ISS1-3 to €23,750 in ISS16+ and were lowest for age category 18-24y (€7980), highest for age category 85 years and over (€15,580), and fluctuated over age groups in between. Conclusion: Both medical costs and productivity costs generally increased with injury severity. Furthermore, productivity costs were found to be a large component of total costs of injury in ISS1-8 and are therefore a potentially interesting area with regard to reducing costs.

Suggested Citation

  • A J L M Geraerds & Juanita A Haagsma & L de Munter & N Kruithof & M de Jongh & Suzanne Polinder, 2019. "Medical and productivity costs after trauma," PLOS ONE, Public Library of Science, vol. 14(12), pages 1-14, December.
  • Handle: RePEc:plo:pone00:0227131
    DOI: 10.1371/journal.pone.0227131
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0227131
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0227131&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0227131?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Harlan, L.C. & Harlan, W.R. & Parsons, P.E., 1990. "The economic impact of injuries: A major source of medical costs," American Journal of Public Health, American Public Health Association, vol. 80(4), pages 453-459.
    2. Annemieke C Scholten & Juanita A Haagsma & Martien J M Panneman & Ed F van Beeck & Suzanne Polinder, 2014. "Traumatic Brain Injury in the Netherlands: Incidence, Costs and Disability-Adjusted Life Years," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-10, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Michal Miovsky & Beata Gavurova & Viera Ivankova & Martin Rigelsky & Jaroslav Sejvl, 2020. "Fatal injuries and economic development in the population sample of Central and Eastern European Countries: the perspective of adolescents," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(8), pages 1403-1412, November.
    2. Leonie de Munter & A J L M Geraerds & Mariska A C de Jongh & Marjolein van der Vlegel & Ewout W Steyerberg & Juanita A Haagsma & Suzanne Polinder, 2020. "Prognostic factors for medical and productivity costs, and return to work after trauma," PLOS ONE, Public Library of Science, vol. 15(3), pages 1-15, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Rose Nabi Deborah Karimi Muthuri & Joses Muthuri Kirigia, 2020. "The Monetary Value of Disability-Adjusted Life Years in Kenya in 2017," SAGE Open, , vol. 10(4), pages 21582440209, November.
    2. Scheenen, Myrthe E. & van der Horn, Harm J. & de Koning, Myrthe E. & van der Naalt, Joukje & Spikman, Jacoba M., 2017. "Stability of coping and the role of self-efficacy in the first year following mild traumatic brain injury," Social Science & Medicine, Elsevier, vol. 181(C), pages 184-190.
    3. Michal Miovsky & Beata Gavurova & Viera Ivankova & Martin Rigelsky & Jaroslav Sejvl, 2020. "Fatal injuries and economic development in the population sample of Central and Eastern European Countries: the perspective of adolescents," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(8), pages 1403-1412, November.
    4. Guido Migliaccio, 2019. "Disabled People in the Stakeholder Theory: a Literature Analysis," Journal of the Knowledge Economy, Springer;Portland International Center for Management of Engineering and Technology (PICMET), vol. 10(4), pages 1657-1678, December.
    5. Jeroen T J M van Dijck & Mark D Dijkman & Robbin H Ophuis & Godard C W de Ruiter & Wilco C Peul & Suzanne Polinder, 2019. "In-hospital costs after severe traumatic brain injury: A systematic review and quality assessment," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-21, May.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0227131. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.