Clinical features and direct medical cost of splenic injury in China: a cross-sectional study
Objectives This study analyses the clinical features and direct medical cost (DMC) of splenic injury during 2000–2013 in China.Design This was a cross-sectional study.Methods We used ‘The No. 1 Military Medical Project’ information system to conduct a retrospective study. Patients’ information from...
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BMJ Publishing Group
2022-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/6/e058612.full |
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| author | Yan Liu Yubo Ma Qiu Zhang Yong Chen Ji-Hong Zhou Yong Qi |
| author_facet | Yan Liu Yubo Ma Qiu Zhang Yong Chen Ji-Hong Zhou Yong Qi |
| author_sort | Yan Liu |
| collection | DOAJ |
| description | Objectives This study analyses the clinical features and direct medical cost (DMC) of splenic injury during 2000–2013 in China.Design This was a cross-sectional study.Methods We used ‘The No. 1 Military Medical Project’ information system to conduct a retrospective study. Patients’ information from 2000 to 2013 were identified. Demographic data, treatment, clinical data and DMC were collected. We performed a generalised linear method (GLM) using gamma distribution to assess the drivers of DMCs.Results We included 8083 patients with splenic injury who met the study criteria. Over the 14-year study period, 2782 (34.4%) patients were treated with non-operative management (NOM), 5301 (65.6%) with OM. From 2000 to 2013, the rate of NOM increased from 34.7% to 55.9%, while OM decreased from 65.3% to 44.1%. Mean per-patient DMC in both NOM and OM increased from 2000 to 2013. In GLM analysis, male, old age, length of stay, severe splenic injury grade, OM, intensive care unit, blood transfusion and tertiary hospitals were associated with higher DMC, while female and NOM was associated with lower DMC.Conclusions In China, management of splenic injury was the most important factor impacting the total DMC. Proper management and public policy could curtail the burden of splenic injury. |
| format | Article |
| id | doaj-art-3e5b4584059f4d7f961a70e224a7fef6 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-3e5b4584059f4d7f961a70e224a7fef62025-01-28T05:00:13ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-058612Clinical features and direct medical cost of splenic injury in China: a cross-sectional studyYan Liu0Yubo Ma1Qiu Zhang2Yong Chen3Ji-Hong Zhou4Yong Qi51Tempus AI, Inc., Chicago, IL, USADepartment of Epidemiology and Biostatistics, Anhui Medical University School of Public Health, Hefei, Anhui, ChinaDepartment of Endocrinology, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, ChinaDepartment of Biostatistics, Epidemiology and Informatics, University of Pennsylvania, Philadelphia, Pennsylvania, USAState Key Laboratory of Trauma, Burns and Combined Injury, Army Medical Center, Army Medical University Daping Hospital, Chongqing, ChinaDepartment of General Surgery, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, ChinaObjectives This study analyses the clinical features and direct medical cost (DMC) of splenic injury during 2000–2013 in China.Design This was a cross-sectional study.Methods We used ‘The No. 1 Military Medical Project’ information system to conduct a retrospective study. Patients’ information from 2000 to 2013 were identified. Demographic data, treatment, clinical data and DMC were collected. We performed a generalised linear method (GLM) using gamma distribution to assess the drivers of DMCs.Results We included 8083 patients with splenic injury who met the study criteria. Over the 14-year study period, 2782 (34.4%) patients were treated with non-operative management (NOM), 5301 (65.6%) with OM. From 2000 to 2013, the rate of NOM increased from 34.7% to 55.9%, while OM decreased from 65.3% to 44.1%. Mean per-patient DMC in both NOM and OM increased from 2000 to 2013. In GLM analysis, male, old age, length of stay, severe splenic injury grade, OM, intensive care unit, blood transfusion and tertiary hospitals were associated with higher DMC, while female and NOM was associated with lower DMC.Conclusions In China, management of splenic injury was the most important factor impacting the total DMC. Proper management and public policy could curtail the burden of splenic injury.https://bmjopen.bmj.com/content/12/6/e058612.full |
| spellingShingle | Yan Liu Yubo Ma Qiu Zhang Yong Chen Ji-Hong Zhou Yong Qi Clinical features and direct medical cost of splenic injury in China: a cross-sectional study BMJ Open |
| title | Clinical features and direct medical cost of splenic injury in China: a cross-sectional study |
| title_full | Clinical features and direct medical cost of splenic injury in China: a cross-sectional study |
| title_fullStr | Clinical features and direct medical cost of splenic injury in China: a cross-sectional study |
| title_full_unstemmed | Clinical features and direct medical cost of splenic injury in China: a cross-sectional study |
| title_short | Clinical features and direct medical cost of splenic injury in China: a cross-sectional study |
| title_sort | clinical features and direct medical cost of splenic injury in china a cross sectional study |
| url | https://bmjopen.bmj.com/content/12/6/e058612.full |
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