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Hospital Charges For Patients Involved in Motor Vehicle Crashes in Nebraska 1996-2000

Hospital Charges For Patients Involved in Motor Vehicle Crashes in Nebraska 1996-2000 Ming Qu Prabhakar Dhungana. Introduction. Motor vehicle crashes (MVCs) are one of the top five leading causes of injury in Nebraska. Source: Nebraska 2001 ECODE File. Introduction (Continued).

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Hospital Charges For Patients Involved in Motor Vehicle Crashes in Nebraska 1996-2000

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  1. Hospital Charges For Patients Involved in Motor Vehicle Crashes in Nebraska 1996-2000 Ming QuPrabhakar Dhungana

  2. Introduction • Motor vehicle crashes (MVCs) are one of the top five leading causes of injury in Nebraska Source: Nebraska 2001 ECODE File

  3. Introduction (Continued) • MVCs result in significant economic costs • Around $2 billion each year in Nebraska • However very limited information was available about the financial outcomes of MVCs • Hospital charges represent the retail price for patient services before discount • Used to estimate actual costs

  4. Objective • Help understand the factors which contribute to motor vehicle crashes- related health care costs to prioritize safety measures

  5. Methods • Nebraska CODES Data 1996-2000 • Motor vehicle crash records linked with hospital discharge records This study includes: • Records related to crashes involving cars, vans and light trucks; and • Records containing information on hospital charges

  6. Methods (contd.) • Descriptive • Response variables • Hospital charges • Factors • Person specific • Age, Gender, Restraint use, Driver condition • Body Part Injured • Crash specific • Contributing human factors, Crash type, Posted speed limit

  7. Overview of Study Population • Total number of patients (hospital charge>0) 31,574 • Patient type • Inpatient 3,263 (10%) • Outpatient 28,311 (90%) • Gender • Female 18,278 (58%) • Male 13,296( 42%)

  8. Number of Patients (31,574) Total Hospital Charges (77,111,383)

  9. * Body part injured is defined according to police report

  10. Summary • Hospital Charges were higher for patients who were • Male • Older • Unrestrained • Involved in alcohol-related crashes • Involved in crashes caused by driving left of center and speeding • Involved in multiple vehicle head on crashes

  11. Summary (Continued) • Patients with “whole body” injuries had the largest median hospital charges • Patients with “head” injuries accounted for the largest of the total hospital charges • Median hospital charges generally increased as the posted speed limit increased

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