The study, by the Trauma Audit Research Network (TARN) at The University of Manchester, looked at all penetrating trauma injuries that resulted in immediate admission to hospital for three or more days or death within 93 days.
Stabbings accounted for almost three-quarters of all penetrative injuries with an average cost to the NHS per victim of £7,196. Firearm injuries, accounting for nearly a fifth of cases studied, cost an average of £10,307 per patient, while penetrating injuries caused by vehicle collisions, only 2% of cases, cost the most at £16,185 per patient.
The research, based on TARN data from half (121) of all hospitals receiving trauma patients in England and Wales, was carried out between 1 January 2000 and 31 December 2005. The results show that there were 1,365 patients with penetrating trauma injuries, 91% of whom were male. The median age was 30 years.
More than 90% of injuries were alleged assaults, and 47% of the patients were admitted to critical care. Overall hospital mortality rate was 8.3%, and the rate for stabbing was 7%.
“Our findings indicate that the initial hospital costs associated with penetrating trauma are substantial, and vary to a considerable degree by patient, injury and treatment characteristics,” said Dr Fiona Lecky, research director at TARN.
“Although the costs of penetrating trauma resulting from shooting are higher than from stabbing, the most commonly used weapon in violent crime in England and Wales is actually a knife.
“At an average cost of £7,699 per penetrating injury from alleged assault and a total of 417 injuries per year requiring hospitalisation for at least three days, the total acute care cost of this type of injury alone may exceed £3.2 million annually.
“Public health initiatives that aim to reduce the incidence and severity of penetrating trauma are therefore likely to produce significant savings in acute trauma care costs.’’
The study, funded by TARN and Novo Nordisk and carried out by Health Economist Steven Morris from the University of Brunel, looked at treatment costs for each patient based on initial hospitalisation. It included costs of transportation, hospital stay and all surgical procedures performed.
“Considering the additional medical costs of rehabilitation and broader costs to society resulting from lost productivity, permanent disability, premature death and the pain and suffering of the victims and their families, there is a compelling argument for money to be better spent on prevention strategies that reduce violent incidents,” said Dr Lecky.
“It should be borne in mind that most of the cost of trauma, especially stabbing, is not to the health service but in billions per annum to the taxpayer through legal costs, loss of productive tax-paying years in those that die or are severely disabled and in long-term care. Trauma is the most expensive, and neglected, ‘disease’ to society because it mainly affects young tax paying people.'
The research is published online ahead of print in the journal Injury.
Aeron Haworth | alfa
The personality factor: How to foster the sharing of research data
06.09.2017 | ZBW – Leibniz-Informationszentrum Wirtschaft
Europe’s Demographic Future. Where the Regions Are Heading after a Decade of Crises
10.08.2017 | Berlin-Institut für Bevölkerung und Entwicklung
Plants and algae use the enzyme Rubisco to fix carbon dioxide, removing it from the atmosphere and converting it into biomass. Algae have figured out a way to increase the efficiency of carbon fixation. They gather most of their Rubisco into a ball-shaped microcompartment called the pyrenoid, which they flood with a high local concentration of carbon dioxide. A team of scientists at Princeton University, the Carnegie Institution for Science, Stanford University and the Max Plank Institute of Biochemistry have unravelled the mysteries of how the pyrenoid is assembled. These insights can help to engineer crops that remove more carbon dioxide from the atmosphere while producing more food.
A warming planet
Our brains house extremely complex neuronal circuits, whose detailed structures are still largely unknown. This is especially true for the so-called cerebral cortex of mammals, where among other things vision, thoughts or spatial orientation are being computed. Here the rules by which nerve cells are connected to each other are only partly understood. A team of scientists around Moritz Helmstaedter at the Frankfiurt Max Planck Institute for Brain Research and Helene Schmidt (Humboldt University in Berlin) have now discovered a surprisingly precise nerve cell connectivity pattern in the part of the cerebral cortex that is responsible for orienting the individual animal or human in space.
The researchers report online in Nature (Schmidt et al., 2017. Axonal synapse sorting in medial entorhinal cortex, DOI: 10.1038/nature24005) that synapses in...
Whispering gallery mode (WGM) resonators are used to make tiny micro-lasers, sensors, switches, routers and other devices. These tiny structures rely on a...
Using ultrafast flashes of laser and x-ray radiation, scientists at the Max Planck Institute of Quantum Optics (Garching, Germany) took snapshots of the briefest electron motion inside a solid material to date. The electron motion lasted only 750 billionths of the billionth of a second before it fainted, setting a new record of human capability to capture ultrafast processes inside solids!
When x-rays shine onto solid materials or large molecules, an electron is pushed away from its original place near the nucleus of the atom, leaving a hole...
For the first time, physicists have successfully imaged spiral magnetic ordering in a multiferroic material. These materials are considered highly promising candidates for future data storage media. The researchers were able to prove their findings using unique quantum sensors that were developed at Basel University and that can analyze electromagnetic fields on the nanometer scale. The results – obtained by scientists from the University of Basel’s Department of Physics, the Swiss Nanoscience Institute, the University of Montpellier and several laboratories from University Paris-Saclay – were recently published in the journal Nature.
Multiferroics are materials that simultaneously react to electric and magnetic fields. These two properties are rarely found together, and their combined...
19.09.2017 | Event News
12.09.2017 | Event News
06.09.2017 | Event News
22.09.2017 | Life Sciences
22.09.2017 | Medical Engineering
22.09.2017 | Physics and Astronomy