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Published on: March 15, 2020
The cost of a hot drink scald
H R Griffiths1, K L Thornton, C M Clements
1South West Regional Burns and Plastic Surgery Service, Department of Anaesthesia, Frenchay Hospital, Frenchay, Bristol BS16 1LE, UK. GriffithsHR@hotmail.com
Insights
The average cost for treating minor paediatric scalds in the UK is approximately £1850 per child. This study highlights the significant financial burden of paediatric burns, informing resource allocation and prevention strategies.
Area of Science:
- Paediatric surgery
- Health economics
- Burn management
Background:
- Approximately 6400 children annually require hospital treatment for burns in the UK.
- Minor paediatric scalds represent a significant, yet often underestimated, healthcare cost.
- Understanding the financial implications is crucial for effective resource management.
Purpose of the Study:
- To investigate the financial costs associated with managing uncomplicated, minor paediatric scalds.
- To quantify the expenses related to consumables, services, and overall patient care.
- To provide data supporting the cost-effectiveness of burn prevention initiatives.
Main Methods:
- Analysis of three paediatric cases with 2-4% Total Body Surface Area (TBSA) scalds.
- Detailed quantification of consumables and services utilized during treatment.
- Cost data obtained from hospital Purchasing Departments and Directorate Accountants.
- Extrapolation of costs based on a caseload of 144 children treated for minor burns (<10% TBSA) over one year.
Main Results:
- The mean average cost per case for minor paediatric scalds was calculated to be £1850.
- An estimated annual cost of £266,400 for treating minor burns and scalds (<10% TBSA) at a single UK hospital (Frenchay Hospital, Bristol).
- Management typically involved general anaesthesia, wound cleaning, BioBrane application, dressings, and inpatient observation.
Conclusions:
- The management of minor paediatric scalds incurs substantial financial costs.
- Findings can aid in future resource allocation planning within paediatric burn care.
- Evidence generated may support the economic justification for investing in burn prevention strategies.
Abstract:
Approximately 6400 children per year are admitted to UK hospitals for treatment of burns [National Burn Care Review Committee Report (NBCRC). Standards and Strategy for Burn Care: a review of burn care in the British Isles. 2001.]. This paper investigates the financial costs involved in the management of uncomplicated, minor paediatric scalds. Three cases (2-4% TBSA scalds) were studied to quantify consumables used, services required during management and costs obtained from appropriate Purchasing Departments and Directorate Accountants. Management in all cases involved a general anaesthetic for cleaning of wounds, application of BioBrane (Bertek Pharmaceuticals) and dressings, observation on Children's Ward and discharge following wound review at 48 h. The calculated mean average cost per case was pound1850. In the period 01/12/2002-30/11/2003, 144 children were admitted to Frenchay hospital, Bristol, for treatment of a minor burn or scald (less than 10%TBSA). This caseload is therefore estimated to currently cost pound266,400 per year. These findings may facilitate improved planning for future resource allocation and could also contribute evidence towards the cost effectiveness of prevention strategies.
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