Статистика ожогов в россии за годы

.. 1, .. 2
1 ” 36 . “
2 . ..

Medical economic evaluation of hospital costs linked to quality of inpatient care for burning injury
A.Yu. Unizhayeva1, S.A. Martynchik2
1Municipal hospital No. 36, Moscow
2I.M. Sechenov First Moscow State Medical University, Moscow

.
,
,
, –
.
, ,
, ,

.

,

. ,
.

,
. ,

. ,

,
.

. ; ;
; ;
; ; ;
.

Summary. This is a brief systematic review of
the foreign and domestic literature to evaluate economic loss due
burning injuries of the population. Medical economic assessment of costs
linked to quality of inpatient care for burning injury was performed.
Combined evaluation of the rates of mortality, hospital lethality, and
disability when associated with burning injury was fulfilled. Economic
burden resulting from expenses of delivered inpatient care for trauma
linked to its quality and accessibility was evaluated.

Measures outlined by appropriate programs for developing certain
organizational trends of inpatient for burning injuries and wide
introduction of modern medical technologies of early surgical
interventions and plastic closure of the burn wounds were analyzed. The
article introduces classification of burning injuries, methods of
prognostic evaluation of its intrinsic severity and outcomes. Thus,
evaluation of costs of the public health to deliver effect-oriented
inpatient care for burning injuries effectively treated patients.

Wide-scale realization of measures for reduction of mortality from
thermal burns requires extensive funding and appropriate organizational
possibilities and resources with more wide engagement of certain state
budget items.

The very optimization of burn centers and relevant burn departments
of municipal hospitals necessitated such an approach as creation of
national register of burn cases, as well as introduction of quality
assessment based on the use of medical standards and task indicators.

Keywords. burning injuries; burn condition; prognostic
indexes and scales; completed case of treatment; hospital lethality;
hospital registers; economic costs; program measures.

– .

– , , [22].

, – .

– , , , .

– – .

1. – ,

– , , , [18].

, 4 , – , . 6 . 1:1000 .

, , 321,8 1000 195000 .

1000 3,9 4,5, 2,8 35,4, – – 184, [14].

, (), . [3].

[8]. (2010 .) 313500 [4].

100 . , 40-46% . 15-17% 3-4 20% [5]. 8,7%, 11,9 [2].

– 1-2,3% , 40% – . , – [6].

2.

, , , , , . : , , , [11]. 94,4% [1].

, . 1960 4- , . , I – II 10 , III 3 , III IV .

20% 10% – . 3 : , , .

1-3 , . , , , , , . , 1 10% . [10].

12,5% . 7,9% , 53% – 1 6 19,9% – 24 . 58,2 % . 28% . [1].

, 10 . , 5-7 [10].

, 20%, 21 40%, 41 60%, 60% , 15,2%, 32,9%, 26,2%, 25,7%, [1].

10 . [10]. . , 20% 39,2%, 21 40% 31,3%, 41 60% 20,7%, 60% 8,8%, .

.

: (14%), (8,9%), (12,2%) [1]. , 50 80% . [9].

i , (, , ) [11].

, , , . (.. ) , .

, . , , (u), , .

(u) , . , 100, . ( ). , , .

() . (1-3 ) 1 , (3-4 ) 3 . 91 .

() , , 1-2 . .

, , , . , , .

, .. 8 , , , , , . .

(). , , , , , () , , , , .

, 95%, [7].

, , .

3.

. .

, , .

, NBR (National Bern Repository), , Bi-NBR (Bi–National Burn Registry) .

NBR 2001 . 2010 . 5,7% 3,3%. . , 60 , 20% 20 .

– 11 9 , 1 – 1% .

100 ( 60% ), 80-100 – 10%, 80 – 4%.

, , 21%, – 14% [13].

, . 2007 60 . 21,8 -. 44,3% , : – 14,4%, – 56,3% – 7% . 4,8% [1].

4. ,

. , , .

, , . , [21].

– . . , , , , , [24].

, , . $700,74 [19]. – $1512, $934, $726, $280 [17], .

$3000 $5000, , – 23% [24]. 2011 $68218 [13].

1 – 2011 . $101,4, – $1542.

, , $95551. 9% , 1% , 5% , 56% 26% .

– (56%), 85% .

, , . , , $32033, 9-10 . 1 – $477. , – 17 [16].

1 , 30-40%, $104251, 35 . 1 – $1139, $3796,6. – $9,56 , [15, 20].

– $290 . – $118 , – $172 . [23], .

2007 ?10,5 [3].

$15250, – – $426. $368. : 16% – , 18% – , 19% – ( ), 12% – , – 5% , 31% – [21].

– $294. $6907. 29,5% , 25,7% 19,1% – , [12].

2012 57778,86 ($1880,82), 72858,72 ($2371,7), . – 5212,73 ($169,68).

, , .. -, , .

, , .

, , , , .

, : , .

: , .

1. , .., .. / II 2-5 2008 . . 2008. . 34.
2. .., .. 2009 . [] URL: https://www.burn.ru/all/number/show/?id=4335 ( 22 2012 ).
3. . . . 2012. 365. []. URL: https://www.who.int/mediacentre/factsheets/fs365/ru/index.html ( 21 2012 ).
4. . 2010: . . M: ; 2010. 525 c.
5. .. , . . . . . . . . 2008. 39 .
6. . . . . . . . . . 2004. 24 .
7. .., .., .., .. . . -. 2008. 30 .
8. .., .., .., .. // . 2009. 6. . 45-48.
9. .. . . . . . . .. 2012. 25 .
10. .. – // . 2012. 2. C. 257-266.
11. .., .., .., .., .., .. . . . 2005. 315 .
12. Ahachi C.N., Fadeyibi I.O., Abikoye F.O., Chira M.K., Ugburo A.O., Ademiluyi S.A. The direct hospitalization cost of care for acute burns in Lagos, Nigeria: a one-year prospective study. Ann. Burns Fire Disasters 2011;24(2):94101.
13. American Burn Association, National Burn Repository. 2011. Version 7.0. [Internet]. 2012 [cited 2012 Jul 11]. Available from: https://www.ameriburn.org/2012NBRAnnualReport.pdf
14. Global Burden of Disease in 2002: data sources, methods and results. [Internet]. 2002 [cited 2012 Oct 21]. Available from: https://www.who.int/healthinfo/paper54.pdf
15. Griffiths H.R., Thornton K.L., Clements C.M., Burge T.S., Kay A.R., Young A.E.R.: The cost of a hot drink scald. Burns 2006;32(3):372-374.
16. José-Luis Alfonso Sánchez, PhD, MD; Sergio Blasco Perepérez, PhD; Julio López Bastida, PhD; Mercedes Melgar Martínez. Cost-Utility Analysis Applied to the Treatment of Burn Patients in a Specialized CenterFREE. Arch. Surg. 2007;142(1):50-57.
17. Negrini D., Sheppard L., Mills H. et al. International Programme for Resource Use in Critical Care (IPOC) – a methodology and initial results of cost and provision in four European countries. Acta Anaesthesiol. Scand. 2006;50:7279.
18. Nele Brusselaers, Stan Monstrey, Dirk Vogelaers, Eric Hoste, and Stijn Blot. Severe burn injury in europe: a systematic review of the incidence, etiology, morbidity, and mortality. Crit Care 2010;14(5):188.
19. Patil V., Dulhunty J.M., Udy A. et al. Do burn patients cost more? The intensive care unit costs of burn patients compared with controls matched for length of stay and acuity. J. Burn Care Res. 2010;31:598602.
20. Pellatt R.A.F., Williams A., Wright H., Young A.E.R. The cost of a major paediatric burn. Burns 2010;36(8):1208-1214.
21. Sahin I., Ozturk S., Alhan D, Açikel C., and Isik S. Cost analysis of acute burn patients treated in a burn centre: the Gulhane experience. J. Ann. Burns Fire Disasters 2011;24(1):913.
22. Sánchez JL, Perepérez SB, Bastida JL, Martínez MM: Cost-utility analysis applied to the treatment of burn patients in a specialized center. Arch. Surg. 2007;142:50-57.
23. The Economic Burden of Injury in Canada. SMARTRISK. [Internet]. 2009 [cited 2012 Oct 24]. Available from: https://www.smartrisk.ca/downloads/burden/Canada2009/EBI-Eng-ExecSumm.pdf
24. WHO and the International Society for Burn Injuries issue new fact sheet on burns [Internet]. [cited 2012 Oct 18]. Available from: https://www.who.int/violence_injury_prevention/publications/other_injury/en/burns_factsheet.pdf

References

1. Alekseyev, A.A., Lavrov V.A. Aktualnyye voprosy organizatsii i sostoyaniye meditsinskoy pomoshchi postradavshim ot ozhogov v Rossiyskoy Federatsii [Actual problems in organization and condition of health care provided to burn victims in the Russian Federation]. In: Proceedings of the 2nd Russian National Congress. Moscow. 2008. P. 3-4.
2. Alekseyev A.A., Tyurnikov Yu.I. Statisticheskiye pokazateli ozhogovykh statsionarov Rossiyskoy Federatsii za 2009 god. [Statistical indicators of burn hospitals in the Russian Federation in 2009] [Internet]. 2012 [cited 2012 Oct 22]. Available from: https://www.burn.ru/all/number/show/?id=4335
3. WHO. Ozhogi. Informatsionnyy byulleten 2012. 365. [WHO. Burns. Information Bulletin 2012. 365] [Internet]. 2012 [cited 2012 Oct 22]. Available from: https://www.who.int/mediacentre/factsheets/fs365/ru/index.html
4. Demograficheskiy yezhegodnik Rossii. 2010 [Demographic Year Book of Russia. 2010]: Statistical Bulletin. Moscow: Rosstat; 2010. 525 p.
5. Zinovyev Ye.V. Puti uluchsheniya rezultatov okazaniya meditsinskoy pomoshchi pri obshirnykh glubokikh ozhogakh naseleniyu, prozhivayushchemu vne regionalnykh administrativnykh tsentrov [The ways to improve health care with extensive deep burns to the population living out of regional administrative centers]. [PhD. Thesis]. N. Novgorod. 2008. 39 p.
6. Kichatova Ye. Yu. Sovershenstvovaniye deyatelnosti sestrinskogo personala ozhogovykh otdeleniy [Enhancing the activity of nursing staff of the burn departments]. [PhD. Thesis]. Moscow. 2004. 24 p.
7. Matveyenko A.V., Tarasenko M.Yu., Adamkin A.L., Petrachkov S.A. Ozhogovyy shok. Uchebnoye posobiye. [Burn shock. Textbook ]. SPb. 2008. 30 p.
8. Ponomareva N.A., Vorobyev A.V., Zhegalov V.A., Peretyagin S.N. Istoriya i etapy razvitiya kombustiologicheskoy sluzhby v Rossii [The history and stages of development of conbustiological service in Russia]. Zdravookhraneniye Rossiyskoy Federatsii 2009;(6):45-48.
9. Satosova N.V. Epidemiologiya i profilaktika infektsiy krovotoka v otdelenii ozhogovoy reanimatsii i intensivnoy terapii [Epidemiology and prevention of blood flow infections in departments of burn reanimation and intensive therapy]. [PhD. Thesis]. SPb. 2012. 25 p.
10. Tyurnikov Yu.I. Sovremennyye aspekty okazaniya i lechebno-diagnosticheskoy pomoshchi pri termicheskoy travme [The current aspects of delivering health and diagnostic care with thermal trauma]. Plasticheskaya khirurgiya i kosmetologiya 2012;(2):257-266.
11. Fistal E.Ya., Kozinets G.P., Samoylenko G.Ye., Nosenko V.M., Fistal N.N., Soloshenko V.V. Kombustiologiya. Uchebnik. [Combustiology. Textbook ] Donetsk. 2005. 315 p.
12. Ahachi C.N., Fadeyibi I.O., Abikoye F.O., Chira M.K., Ugburo A.O., Ademiluyi S.A. The direct hospitalization cost of care for acute burns in Lagos, Nigeria: a one-year prospective study. Ann. Burns Fire Disasters 2011;24(2):94101.
13. American Burn Association, National Burn Repository. 2011. Version 7.0. [Internet]. 2012 [cited 2012 Jul 11]. Available from: https://www.ameriburn.org/2012NBRAnnualReport.pdf
14. Global Burden of Disease in 2002: data sources, methods and results. [Internet]. 2002 [cited 2012 Oct 21]. Available from: https://www.who.int/healthinfo/paper54.pdf
15. Griffiths H.R., Thornton K.L., Clements C.M., Burge T.S., Kay A.R., Young A.E.R.: The cost of a hot drink scald. Burns 2006;32(3):372-374.
16. José-Luis Alfonso Sánchez, PhD, MD; Sergio Blasco Perepérez, PhD; Julio López Bastida, PhD; Mercedes Melgar Martínez. Cost-Utility Analysis Applied to the Treatment of Burn Patients in a Specialized CenterFREE. Arch. Surg. 2007;142(1):50-57.
17. Negrini D., Sheppard L., Mills H. et al. International Programme for Resource Use in Critical Care (IPOC) – a methodology and initial results of cost and provision in four European countries. Acta Anaesthesiol. Scand. 2006;50:7279.
18. Nele Brusselaers, Stan Monstrey, Dirk Vogelaers, Eric Hoste, and Stijn Blot. Severe burn injury in europe: a systematic review of the incidence, etiology, morbidity, and mortality. Crit Care 2010;14(5):188.
19. Patil V., Dulhunty J.M., Udy A. et al. Do burn patients cost more? The intensive care unit costs of burn patients compared with controls matched for length of stay and acuity. J. Burn Care Res. 2010;31:598602.
20. Pellatt R.A.F., Williams A., Wright H., Young A.E.R. The cost of a major paediatric burn. Burns 2010;36(8):1208-1214.
21. Sahin I., Ozturk S., Alhan D, Açikel C., and Isik S. Cost analysis of acute burn patients treated in a burn centre: the Gulhane experience. J. Ann. Burns Fire Disasters 2011;24(1):913.
22. Sánchez JL, Perepérez SB, Bastida JL, Martínez MM: Cost-utility analysis applied to the treatment of burn patients in a specialized center. Arch. Surg. 2007;142:50-57.
23. The Economic Burden of Injury in Canada. SMARTRISK. [Internet]. 2009 [cited 2012 Oct 24]. Available from: https://www.smartrisk.ca/downloads/burden/Canada2009/EBI-Eng-ExecSumm.pdf
24. WHO and the International Society for Burn Injuries issue new fact sheet on burns [Internet]. [cited 2012 Oct 18]. Available from: https://www.who.int/violence_injury_prevention/publications/other_injury/en/burns_factsheet.pdf

i – , , , , .

: 19166