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Estimating the cost impact of dressing choice in the context of a mass burns casualty event

Julia Lowin, Tom Winfield, Tricia Price, Pippa Anderson, Tom Potokar Orcid Logo

Annals of Burns and Fire Disasters, Volume: XXXIII, Issue: 3, Pages: 222 - 226

Swansea University Authors: Julia Lowin, Tricia Price, Pippa Anderson, Tom Potokar Orcid Logo

Abstract

SUMMARY. Mass casualty burn events (MCBs) require intense and complex management. Silver-infused longer use dressingsmight help optimise management of burns in an MCB setting. We developed a model estimating the impact of dressing choice inthe context of an MCB. The model was developed in Excel in c...

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Published in: Annals of Burns and Fire Disasters
Published: 2020
Online Access: http://www.medbc.com/annals/review/vol_32/num_3/v32n3content.htm
URI: https://cronfa.swan.ac.uk/Record/cronfa53529
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spelling 2020-12-16T10:34:19.2274136 v2 53529 2020-02-14 Estimating the cost impact of dressing choice in the context of a mass burns casualty event a9897f4e67e285093fefafcb1c954364 Julia Lowin Julia Lowin true false 72b4943af96c97ef72977c31b9c29624 Tricia Price Tricia Price true false 128cdedfba6e5e6374fdc85d5c78c428 Pippa Anderson Pippa Anderson true false 9a95e66967473650e9ed68f7cad7c681 0000-0001-9282-8128 Tom Potokar Tom Potokar true false 2020-02-14 PHAC SUMMARY. Mass casualty burn events (MCBs) require intense and complex management. Silver-infused longer use dressingsmight help optimise management of burns in an MCB setting. We developed a model estimating the impact of dressing choice inthe context of an MCB. The model was developed in Excel in collaboration with experienced emergency response clinicians. Themodel compares use of silver-infused dressings with use of traditional dressings in patients with partial thickness burns covering30% of their body. Costs were estimated from a UK perspective as a proxy for a funded emergency response team and limitedto cost of dressings, bandages, padding, analgesia and staff time. Expected patient costs and resource use were summarised overan acute 2-week intervention period and extrapolated to estimate possible time savings in a hypothetical MCB. Per patient costswere estimated at £2,002 (silver) and £1,124 (traditional) (a daily additional spend of £63). Per patient staff time was estimatedat 864 minutes (silver) and 1,200 minutes (traditional) (a daily time saving of 24 minutes). Multiplying up to a possible MCBpopulation of 20 could result in a saving equivalent to 9 staff shifts over the 2-week intervention period. The model was sensitiveto type of silver dressing, frequency of dressing change and staff costs. We found increased costs through use of silver dressingsbut time savings that might help optimise burns management in an MCB. Exploring the balance between costs and staff timemight help future MCB response preparation.Keywords: mass casualty incident, burns, silver dressing, SSD, cost model Journal Article Annals of Burns and Fire Disasters XXXIII 3 222 226 mass casualty incident, burns, silver dressing, SSD, cost model 14 1 2020 2020-01-14 http://www.medbc.com/annals/review/vol_32/num_3/v32n3content.htm COLLEGE NANME Public Health COLLEGE CODE PHAC Swansea University 2020-12-16T10:34:19.2274136 2020-02-14T14:32:20.8197761 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Healthcare Science Julia Lowin 1 Tom Winfield 2 Tricia Price 3 Pippa Anderson 4 Tom Potokar 0000-0001-9282-8128 5 53529__16640__376bf8e7025244be95585860cd8a5309.pdf 53529.pdf 2020-02-19T16:36:47.3580360 Output 1226270 application/pdf Version of Record true Released with the permission of the publisher. true
title Estimating the cost impact of dressing choice in the context of a mass burns casualty event
spellingShingle Estimating the cost impact of dressing choice in the context of a mass burns casualty event
Julia Lowin
Tricia Price
Pippa Anderson
Tom Potokar
title_short Estimating the cost impact of dressing choice in the context of a mass burns casualty event
title_full Estimating the cost impact of dressing choice in the context of a mass burns casualty event
title_fullStr Estimating the cost impact of dressing choice in the context of a mass burns casualty event
title_full_unstemmed Estimating the cost impact of dressing choice in the context of a mass burns casualty event
title_sort Estimating the cost impact of dressing choice in the context of a mass burns casualty event
author_id_str_mv a9897f4e67e285093fefafcb1c954364
72b4943af96c97ef72977c31b9c29624
128cdedfba6e5e6374fdc85d5c78c428
9a95e66967473650e9ed68f7cad7c681
author_id_fullname_str_mv a9897f4e67e285093fefafcb1c954364_***_Julia Lowin
72b4943af96c97ef72977c31b9c29624_***_Tricia Price
128cdedfba6e5e6374fdc85d5c78c428_***_Pippa Anderson
9a95e66967473650e9ed68f7cad7c681_***_Tom Potokar
author Julia Lowin
Tricia Price
Pippa Anderson
Tom Potokar
author2 Julia Lowin
Tom Winfield
Tricia Price
Pippa Anderson
Tom Potokar
format Journal article
container_title Annals of Burns and Fire Disasters
container_volume XXXIII
container_issue 3
container_start_page 222
publishDate 2020
institution Swansea University
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Healthcare Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Healthcare Science
url http://www.medbc.com/annals/review/vol_32/num_3/v32n3content.htm
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description SUMMARY. Mass casualty burn events (MCBs) require intense and complex management. Silver-infused longer use dressingsmight help optimise management of burns in an MCB setting. We developed a model estimating the impact of dressing choice inthe context of an MCB. The model was developed in Excel in collaboration with experienced emergency response clinicians. Themodel compares use of silver-infused dressings with use of traditional dressings in patients with partial thickness burns covering30% of their body. Costs were estimated from a UK perspective as a proxy for a funded emergency response team and limitedto cost of dressings, bandages, padding, analgesia and staff time. Expected patient costs and resource use were summarised overan acute 2-week intervention period and extrapolated to estimate possible time savings in a hypothetical MCB. Per patient costswere estimated at £2,002 (silver) and £1,124 (traditional) (a daily additional spend of £63). Per patient staff time was estimatedat 864 minutes (silver) and 1,200 minutes (traditional) (a daily time saving of 24 minutes). Multiplying up to a possible MCBpopulation of 20 could result in a saving equivalent to 9 staff shifts over the 2-week intervention period. The model was sensitiveto type of silver dressing, frequency of dressing change and staff costs. We found increased costs through use of silver dressingsbut time savings that might help optimise burns management in an MCB. Exploring the balance between costs and staff timemight help future MCB response preparation.Keywords: mass casualty incident, burns, silver dressing, SSD, cost model
published_date 2020-01-14T04:06:30Z
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score 11.012678

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