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Cost-effectiveness of trauma diagnostic screenings
Patricia Kunz Howard1, Beth Broering
1Emergency and Trauma Services, University of Kentucky Chandler Medical Center, Lexington, Kentucky, USA. pkhoward@uky.edu
Abstract:
The purpose of this study was to evaluate the utility and cost-effectiveness of the standard laboratory and radiographic screening panels used at a level-2 trauma center. Healthcare providers and payers are raising questions as to the need for such a broad-based approach in the evaluation and diagnosis of critically ill and injured patients. One rationale for casting a wide net is to reduce the potential for missed injuries that increase morbidity and mortality. In addition, it is well documented that significant incidental findings (e.g., lung mass, horseshoe kidney) are often identified first in these screening studies during trauma (T. R. Paluska, M. J. Sise, D. L. Sack, B. C. Sise, M. C. Egan, & M. Biondi, 2007).
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