UNDERSTANDING PATIENT JOURNEY IN TERMS OF HEALTHCARE RESOURCE UTILIZATION (HCRU) AND COST OF CARE AMONG PATIENTS WITH THERMAL BURNS AND AUTOGRAFT IN A LARGE MANAGED CARE POPULATION
Author(s)
Yu TC1, Zhang X2, Smiell JM1, Boing E3, Tan H(4
1Mallinckrodt Pharmaceuticals, Bedminster, NJ, USA, 2HealthCore, Inc., Wilmington, DE, USA, 3Mallinckrodt Pharmaceuticals, Lawrenceville, GA, USA, 4HealthCore Inc., San Diego, CA, USA
OBJECTIVES: Autograft is included in the current standard of care for severe burns; however, little is known about economic outcomes in this population. This study aimed to assess the real-world HCRU and cost of care among patients who were treated with autograft during an inpatient stay for their thermal burns. METHODS: The HealthCore Integrated Research Database (HIRD®) was used to identify thermal burn patients receiving a first inpatient autograft between 01/01/2011 and 04/30/2016. The first admission date was regarded as the index date. One-year pre- and two-year post-index continuous enrollment were required. Patient demographics, clinical characteristics, HCRU, and total cost were presented. RESULTS: Of 371 identified patients, mean age was 39.6 years (SD=21.86), and 67.1% were males. The majority of burn sites were in upper limb (67.1%) or lower limb (64.2%); 93.3% of patients had third degree or deep third degree burns. Approximately 43.2% had at least 10% total burn surface area (TBSA). The average length of stay during index hospitalization was 17.9 days (SD=23.78), with mean total cost of $157,274 (SD=$323,728). While the one-year pre-index mean total cost was $18,823 (SD=$38,506), the first year post-index mean total cost was $184,805 (SD=$349,355), and 92.7% were burn-related. On average, index hospitalization accounted for 85.1% of the first year cost. The second year mean total cost was $16,872 (SD=$47,423), with 17.9% burn-related. During the first year post-index, 23.2% of patients had ≥1 hospitalization, with 64.0% burn-related. The proportion of patients having inpatient hospitalization during the second year dropped to 13.7%, and only 15.7% were burn-related. CONCLUSIONS: The economic burden of thermal burn patients who were treated with inpatient autograft was significant in the first year after burn injuries. The major cost-driver during the first two years was the initial hospitalization with autograft. The proportion of burn-related utilization and cost considerably reduced in the second year post-index.
Conference/Value in Health Info
2019-05, ISPOR 2019, New Orleans, LA, USA
Value in Health, Volume 22, Issue S1 (2019 May)
Code
PIT22
Topic
Economic Evaluation, Health Service Delivery & Process of Care
Topic Subcategory
Cost/Cost of Illness/Resource Use Studies, Hospital and Clinical Practices
Disease
Injury and Trauma