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The management of small area burns and unexpected illness after burn in children under five years of age : a costing study in the English healthcare setting
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Kandiyali, Rebecca, Sarginson, J.H., Hollén, L.I., Spickett-Jones, F. and Young, A.E.R. (2018) The management of small area burns and unexpected illness after burn in children under five years of age : a costing study in the English healthcare setting. Burns, 44 (1). pp. 188-194. doi:10.1016/j.burns.2017.06.005 ISSN 0305-4179.
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Official URL: http://dx.doi.org/10.1016/j.burns.2017.06.005
Abstract
The objective of this economic study was to evaluate the resource use and cost associated with the management of small area burns, including the additional costs associated with unexpected illness after burn in children of less than five years of age. This study was conducted as a secondary analysis of a multi-centre prospective observational cohort study investigating the physiological response to burns in children. 452 children were included in the economic analysis (median age = 1.60 years, 61.3% boys, median total burn surface area [TBSA] = 1.00%) with a mean length of stay of 0.69 days. Of these children, 21.5% re-presented to medical care with an unexpected illness within fourteen days of injury.
The cost of managing a burn of less than 10% TBSA in a child less than five years of age was £785. The additional cost associated with the management of illness after burn was £1381. A generalised linear regression model was used to determine the association between an unexpected illness after burn, presenting child characteristics and NHS cost. Our findings may be of value to those planning economic evaluations of novel technologies in burn care.
Item Type: | Journal Article | ||||||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | Burns | ||||||||
Publisher: | Elsevier | ||||||||
ISSN: | 0305-4179 | ||||||||
Official Date: | February 2018 | ||||||||
Dates: |
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Volume: | 44 | ||||||||
Number: | 1 | ||||||||
Page Range: | pp. 188-194 | ||||||||
DOI: | 10.1016/j.burns.2017.06.005 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||
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