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Role of Maxillofacial Trauma Scoring Systems in Determining the Economic Burden to Maxillofacial Trauma Patients in India

BACKGROUND: The objective of this study was to evaluate the association between severity of maxillofacial injuries determined by trauma scoring systems and its economic burden to patients in terms of cost and duration of hospitalization. MATERIALS AND METHODS: Following ethical approval a retrospect...

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Autor principal: Ramalingam, Sundar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dentmedpub Research and Printing Co 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4409794/
https://www.ncbi.nlm.nih.gov/pubmed/25954069
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author Ramalingam, Sundar
author_facet Ramalingam, Sundar
author_sort Ramalingam, Sundar
collection PubMed
description BACKGROUND: The objective of this study was to evaluate the association between severity of maxillofacial injuries determined by trauma scoring systems and its economic burden to patients in terms of cost and duration of hospitalization. MATERIALS AND METHODS: Following ethical approval a retrospective chart review was undertaken at Meenakshi Ammal Dental College and Hospital to identify patients admitted with maxillofacial injuries between January 2006 and December 2008. Patients with incomplete records, associated injuries, debilitating systemic diseases and patients treated under local anesthesia were excluded. Details regarding the nature and severity of injury and treatment were recorded in addition to the total treatment cost and duration of hospitalization. Maxillofacial injury severity was scored using maxillofacial injury severity score (MFISS) and facial injury severity scale (FISS). The MFISS and FISS scores were correlated with two surrogate markers of the economic burden namely cost and duration of hospitalization. RESULTS: A total of 162 patients with maxillofacial injuries were identified (108 males, 54 females; mean age = 32.4 years). Road traffic accidents were the cause of injury in 114 patients (70.4%) and only 29 patients (17.9%) had medical insurance coverage. The mean MFISS and FISS scores were 14.04 (standard deviation [SD] = 9.19; range = 3-42) and 4.40 (SD = 3.17; range = 1-14), respectively. The mean cost and duration of hospitalization of the patients were Indian rupees (INR) 13877.28 (SD = 8252.59; range = INR 5250-42960) and 4.12 days (SD = 1.5; range = 2-8 days) respectively. Pearson’s correlation between the MFISS and FISS scores and the cost and duration of hospitalization, revealed statistically significant correlations (MFISS vs. cost - R = 0.862, P < 0.001; MFISS vs. duration - R = 0.828, P < 0.01; FISS vs. cost - R = 0.845, P < 0.01; FISS vs. duration - R = 0.819, P < 0.01). CONCLUSION: Based on the results of this study, maxillofacial injury severity measured by MFISS and FISS scores are predictable indicators of the economic burden to the patients.
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spelling pubmed-44097942015-06-01 Role of Maxillofacial Trauma Scoring Systems in Determining the Economic Burden to Maxillofacial Trauma Patients in India Ramalingam, Sundar J Int Oral Health Original Research BACKGROUND: The objective of this study was to evaluate the association between severity of maxillofacial injuries determined by trauma scoring systems and its economic burden to patients in terms of cost and duration of hospitalization. MATERIALS AND METHODS: Following ethical approval a retrospective chart review was undertaken at Meenakshi Ammal Dental College and Hospital to identify patients admitted with maxillofacial injuries between January 2006 and December 2008. Patients with incomplete records, associated injuries, debilitating systemic diseases and patients treated under local anesthesia were excluded. Details regarding the nature and severity of injury and treatment were recorded in addition to the total treatment cost and duration of hospitalization. Maxillofacial injury severity was scored using maxillofacial injury severity score (MFISS) and facial injury severity scale (FISS). The MFISS and FISS scores were correlated with two surrogate markers of the economic burden namely cost and duration of hospitalization. RESULTS: A total of 162 patients with maxillofacial injuries were identified (108 males, 54 females; mean age = 32.4 years). Road traffic accidents were the cause of injury in 114 patients (70.4%) and only 29 patients (17.9%) had medical insurance coverage. The mean MFISS and FISS scores were 14.04 (standard deviation [SD] = 9.19; range = 3-42) and 4.40 (SD = 3.17; range = 1-14), respectively. The mean cost and duration of hospitalization of the patients were Indian rupees (INR) 13877.28 (SD = 8252.59; range = INR 5250-42960) and 4.12 days (SD = 1.5; range = 2-8 days) respectively. Pearson’s correlation between the MFISS and FISS scores and the cost and duration of hospitalization, revealed statistically significant correlations (MFISS vs. cost - R = 0.862, P < 0.001; MFISS vs. duration - R = 0.828, P < 0.01; FISS vs. cost - R = 0.845, P < 0.01; FISS vs. duration - R = 0.819, P < 0.01). CONCLUSION: Based on the results of this study, maxillofacial injury severity measured by MFISS and FISS scores are predictable indicators of the economic burden to the patients. Dentmedpub Research and Printing Co 2015-04 /pmc/articles/PMC4409794/ /pubmed/25954069 Text en Copyright: © Journal of International Oral Health http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research
Ramalingam, Sundar
Role of Maxillofacial Trauma Scoring Systems in Determining the Economic Burden to Maxillofacial Trauma Patients in India
title Role of Maxillofacial Trauma Scoring Systems in Determining the Economic Burden to Maxillofacial Trauma Patients in India
title_full Role of Maxillofacial Trauma Scoring Systems in Determining the Economic Burden to Maxillofacial Trauma Patients in India
title_fullStr Role of Maxillofacial Trauma Scoring Systems in Determining the Economic Burden to Maxillofacial Trauma Patients in India
title_full_unstemmed Role of Maxillofacial Trauma Scoring Systems in Determining the Economic Burden to Maxillofacial Trauma Patients in India
title_short Role of Maxillofacial Trauma Scoring Systems in Determining the Economic Burden to Maxillofacial Trauma Patients in India
title_sort role of maxillofacial trauma scoring systems in determining the economic burden to maxillofacial trauma patients in india
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4409794/
https://www.ncbi.nlm.nih.gov/pubmed/25954069
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