Biomaterial Database

[Acute and chronic alcohol abuse--effect on inpatient treatment of trauma surgery patients]. 1994

T Ring, and R W Sattler

Abteilung für Allgemein- und Unfallchirurgie, Kreiskrankenhaus Soltau.

The effect of alcoholism on the length of stay and costs of hospital treatment is not well documented. The posttraumatic course of treatment of 75 alcohol intoxicated patients was prospectively followed. A shortened MAST-test served to identify chronic alcoholised patients. The obtained data were compared with a control group according to the matched-pair method. The course of treatment of 44 drunken patients without signs of chronic alcoholism was not different from the control group. However 31 chronic alcohol intoxicated patients showed a clearly different course from the control group. The hospital stay was nearly doubled (13.5 days) compared to the control group (7.5 days). There were explicitly more consultations of specialists (26 vs. 9) necessary and the complication rate (9 vs. 1) during the hospital stay was significantly increased. Chronic alcoholism of traumatised patients yields to a cost increase of the hospital treatment. The high complication rate forces an intensive supervision of the affected patients. These results have to be taken into account by calculations of reimbursement rates for the field of trauma surgery.

UI	MeSH Term	Description	Entries
D007902	Length of Stay	The period of confinement of a patient to a hospital or other health facility.	Hospital Stay,Hospital Stays,Stay Length,Stay Lengths,Stay, Hospital,Stays, Hospital
D008297	Male		Males
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D011183	Postoperative Complications	Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.	Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D011446	Prospective Studies	Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.	Prospective Study,Studies, Prospective,Study, Prospective
D003362	Cost-Benefit Analysis	A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. In contrast a cost effectiveness in general compares cost with qualitative outcomes.	Cost and Benefit,Cost-Benefit Data,Benefits and Costs,Cost Benefit,Cost Benefit Analysis,Cost-Utility Analysis,Costs and Benefits,Economic Evaluation,Marginal Analysis,Analyses, Cost Benefit,Analysis, Cost Benefit,Analysis, Cost-Benefit,Analysis, Cost-Utility,Analysis, Marginal,Benefit and Cost,Cost Benefit Analyses,Cost Benefit Data,Cost Utility Analysis,Cost-Benefit Analyses,Cost-Utility Analyses,Data, Cost-Benefit,Economic Evaluations,Evaluation, Economic,Marginal Analyses
D005260	Female		Females
D005858	Germany	A country in central Europe, bordering the Baltic Sea and the North Sea, between the Netherlands and Poland, south of Denmark. The capital is Berlin.
D006300	Health Services Misuse	Excessive, under or unnecessary utilization of health services by patients or physicians.	Abuse of Health Services,Misuse of Health Services,Health Services Underuse,Health Services Underutilization,Misuse, Health Services,Underuse, Health Services,Health Services Abuse,Health Services Abuses,Health Services Misuses,Health Services Underuses,Health Services Underutilizations,Misuses, Health Services,Underuses, Health Services,Underutilization, Health Services,Underutilizations, Health Services
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man