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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

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

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

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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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 &#xA3;2,002 (silver) and &#xA3;1,124 (traditional) (a daily additional spend of &#xA3;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</abstract><type>Journal Article</type><journal>Annals of Burns and Fire Disasters</journal><volume>XXXIII</volume><journalNumber>3</journalNumber><paginationStart>222</paginationStart><paginationEnd>226</paginationEnd><publisher/><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic/><keywords>mass casualty incident, burns, silver dressing, SSD, cost model</keywords><publishedDay>14</publishedDay><publishedMonth>1</publishedMonth><publishedYear>2020</publishedYear><publishedDate>2020-01-14</publishedDate><doi/><url>http://www.medbc.com/annals/review/vol_32/num_3/v32n3content.htm</url><notes/><college>COLLEGE NANME</college><department>Swansea Centre for Health Economics</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HHE</DepartmentCode><institution>Swansea University</institution><lastEdited>2020-12-16T10:34:19.2274136</lastEdited><Created>2020-02-14T14:32:20.8197761</Created><path><level id="1">College of Human and Health Sciences</level><level id="2">Human and Health Sciences Central</level></path><authors><author><firstname>Julia</firstname><surname>Lowin</surname><order>1</order></author><author><firstname>Tom</firstname><surname>Winfield</surname><order>2</order></author><author><firstname>Tricia</firstname><surname>Price</surname><orcid>0000-0003-3767-0131</orcid><order>3</order></author><author><firstname>Pippa</firstname><surname>Anderson</surname><orcid>0000-0003-2959-2671</orcid><order>4</order></author><author><firstname>Tom</firstname><surname>Potokar</surname><orcid>0000-0001-9282-8128</orcid><order>5</order></author></authors><documents><document><filename>53529__16640__376bf8e7025244be95585860cd8a5309.pdf</filename><originalFilename>53529.pdf</originalFilename><uploaded>2020-02-19T16:36:47.3580360</uploaded><type>Output</type><contentLength>1226270</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><action/><documentNotes>Released with the permission of the publisher.</documentNotes><copyrightCorrect>true</copyrightCorrect></document></documents><OutputDurs/></rfc1807>
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 0000-0003-3767-0131 Tricia Price Tricia Price true false 128cdedfba6e5e6374fdc85d5c78c428 0000-0003-2959-2671 Pippa Anderson Pippa Anderson true false 9a95e66967473650e9ed68f7cad7c681 0000-0001-9282-8128 Tom Potokar Tom Potokar true false 2020-02-14 HHE 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 Swansea Centre for Health Economics COLLEGE CODE HHE Swansea University 2020-12-16T10:34:19.2274136 2020-02-14T14:32:20.8197761 College of Human and Health Sciences Human and Health Sciences Central Julia Lowin 1 Tom Winfield 2 Tricia Price 0000-0003-3767-0131 3 Pippa Anderson 0000-0003-2959-2671 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
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container_title Annals of Burns and Fire Disasters
container_volume XXXIII
container_issue 3
container_start_page 222
publishDate 2020
institution Swansea University
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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 2020-01-14T04:15:54Z
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