Cost analysis of facial injury treatment in two university hospitals in Malaysia: a prospective study

• Main Authors: Sulong, Saperi, Ramli, Roszalina, Ahmed, Zafar, Muhd Nur, Amrizal, Ibrahim, Mohd Ismail, Rashdi, Muhd Fazlynizam, Nordin, Rifqah, Abd Rahman, Normastura, Yusoff, Azizah, Nazimi, Abd Jabar, Abdul Rahman, Roselinda, Abdul Razak, Noorhayati, Mohamed, Norlen
• Format: Article
• Language: English
• Published: Dove Medical Press 2017
• Subjects: R5-920 Medicine (General); RK1-715 Dentistry
• Online Access: http://eprints.usm.my/38536/1/Cost_analysis_of_facial_injury_treatment_in_two_university_hospitals_in_Malaysia.pdf; http://eprints.usm.my/38536/; http://pubmedcentralcanada.ca/pmcc/articles/PMC5304986/

Objective: Facial injury (FI) may occur in isolation or in association with injuries to other parts of the body (facial and other injury [FOI]). The objective of this study was to determine the direct treatment costs incurred during the management of facial trauma. Materials and methods: A prospective cohort study on treatment cost for FIs and FOIs due to road-traffic crashes in two university hospitals in Malaysia was conducted from July 2010 to June 2011. The patients were recruited from emergency departments and reviewed after 6 months from the date of initial treatment. Direct cost analysis, comparison of cost and length of hospital stay, and Injury Severity Score (ISS) were performed. Results: A total of 190 patients were enrolled in the study, of whom 83 (43.7%) had FI only, and 107 (56.3%) had FOI. The mean ISS was 5.4. The mean length of stay and costs for patients with FI only were 5.8 days with a total cost of US$1,261.96, whereas patients with FOI were admitted for 7.8 days with a total cost of US$1,716.47. Costs doubled if the treatment was performed under general anesthesia compared to local anesthesia. Conclusion: Treatment of FI and FOI imposes a financial burden on the health care system in Malaysia.