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
Smart Data Transformation – Surfing the Big Wave
02.12.2016 | Fraunhofer-Institut für Angewandte Informationstechnik FIT
Climate change could outpace EPA Lake Champlain protections
18.11.2016 | University of Vermont
A multi-institutional research collaboration has created a novel approach for fabricating three-dimensional micro-optics through the shape-defined formation of porous silicon (PSi), with broad impacts in integrated optoelectronics, imaging, and photovoltaics.
Working with colleagues at Stanford and The Dow Chemical Company, researchers at the University of Illinois at Urbana-Champaign fabricated 3-D birefringent...
In experiments with magnetic atoms conducted at extremely low temperatures, scientists have demonstrated a unique phase of matter: The atoms form a new type of quantum liquid or quantum droplet state. These so called quantum droplets may preserve their form in absence of external confinement because of quantum effects. The joint team of experimental physicists from Innsbruck and theoretical physicists from Hannover report on their findings in the journal Physical Review X.
“Our Quantum droplets are in the gas phase but they still drop like a rock,” explains experimental physicist Francesca Ferlaino when talking about the...
The Max Planck Institute for Physics (MPP) is opening up a new research field. A workshop from November 21 - 22, 2016 will mark the start of activities for an innovative axion experiment. Axions are still only purely hypothetical particles. Their detection could solve two fundamental problems in particle physics: What dark matter consists of and why it has not yet been possible to directly observe a CP violation for the strong interaction.
The “MADMAX” project is the MPP’s commitment to axion research. Axions are so far only a theoretical prediction and are difficult to detect: on the one hand,...
Broadband rotational spectroscopy unravels structural reshaping of isolated molecules in the gas phase to accommodate water
In two recent publications in the Journal of Chemical Physics and in the Journal of Physical Chemistry Letters, researchers around Melanie Schnell from the Max...
The efficiency of power electronic systems is not solely dependent on electrical efficiency but also on weight, for example, in mobile systems. When the weight of relevant components and devices in airplanes, for instance, is reduced, fuel savings can be achieved and correspondingly greenhouse gas emissions decreased. New materials and components based on gallium nitride (GaN) can help to reduce weight and increase the efficiency. With these new materials, power electronic switches can be operated at higher switching frequency, resulting in higher power density and lower material costs.
Researchers at the Fraunhofer Institute for Solar Energy Systems ISE together with partners have investigated how these materials can be used to make power...
16.11.2016 | Event News
01.11.2016 | Event News
14.10.2016 | Event News
02.12.2016 | Medical Engineering
02.12.2016 | Agricultural and Forestry Science
02.12.2016 | Physics and Astronomy