Skip to main content

Table 3 Mean (SE) inpatient resource use and costs per patient

From: Quantifying the healthcare costs of treating severely bleeding major trauma patients: a national study for England

Resource

Frequency (%) or mean (SE) n = 441

Per patient cost mean (SE) n = 441

Pre-hospital transporta

  

 Ambulance transport to hospital

272/441 (62 %)

--

 Helicopter transport to hospital

139/441 (31 %)

--

 Ambulance and helicopter transport

26/441 (6 %)

--

 Total cost of emergency transport

--

£842.76 (£39.52)

Emergency Department

  

 ED admission

1.00 (0.00)

£319.00 (£0.00)

 Time in ED (hours)

2.96 (0.11)

£72.02 (£3.02)

 Seen by A&E Consultant

354/441 (80 %)

£97.10 (£2.30)

 Attended by trauma team

349/441 (79 %)

£339.76 (£9.40)

Theatre admissions

  

Theatre admission recorded

  

 0 theatre admissions

205/441 (47 %)

--

 1 theatre admission

158/441 (36 %)

--

 2 theatre admissions

37/441 (8 %)

--

 3+ theatre admissions

41/441 (9 %)

--

 Total time in theatre (hours)

3.58 (0.24)

£3,154.53 (£214.02)

Intensive care

  

 Time in intensive care (days)b

7.93 (0.54)

£4,895.20 (£333.31)

Ward stay

  

 Time in non-ICU wards (days)b

19.58 (1.21)

£4,619.05 (£286.19)

Ventilated inpatient days

  

 Time on ventilation (days)b

3.23 (0.41)

£2,779.80 (£355.37)

Haematology and clotting tests

  

 Full blood count

1.76 (0.07)

£5.95 (£0.23)

 Fibrinogen

0.81 (0.08)

£3.94 (£0.41)

 APTT

1.05 (0.09)

£3.55 (£0.30)

 PT

1.32 (0.08)

£4.48 (£0.27)

 INR

0.51 (0.07)

£1.72 (£0.23)

 APTTR

0.29 (0.06)

£0.99 (£0.19)

Imaging investigations

  

 CT scan

1.51 (0.07)

£101.94 (£4.79)

 X-ray

1.72 (0.11)

£68.71 (£4.59)

 Ultrasound

0.08 (0.01)

£4.85 (£0.86)

 MRI

0.06 (0.01)

£5.03 (£1.08)

Blood components transfused in the first 24 hours

  

 PRBCs

9.87 (0.38)

£1,237.19 (£48.07)

 FFP

4.92 (0.28)

£145.03 (£8.24)

 Platelets

0.96 (0.08)

£204.59 (£16.47)

 Cryoprecipitate

0.74 (0.08)

£143.07 (£15.86)

 Beriplex

0 (0)

£0.00 (£0.00)

Blood components transfused after 24 hours

  

 PRBCs

2.61 (0.24)

£326.77 (£29.99)

 FFP

0.74 (0.14)

£21.84 (£4.24)

 Platelets

0.24 (0.04)

£50.79 (£8.83)

 Cryoprecipitate

0.12 (0.05)

£23.84 (£8.85)

 Beriplex

0.01 (0.01)

£2.29 (£2.29)

Blood components issued then wasted

  

 PRBCs

0.74 (0.14)

£92.35 (£17.75)

 FFP

0.84 (0.11)

£24.75 (£3.19)

 Platelets

0.11 (0.03)

£23.93 (£5.89)

 Cryoprecipitate

0.34 (0.06)

£65.18 (£11.99)

Fluids (mLs) given in the first 24 hours

  

 Dextrose

47.74 (13.07)

£0.10 (£0.03)

 Colloids

564.05 (61.49)

£3.02 (£0.33)

 Crystalloids

1595.74 (108.33)

£2.33 (£0.15)

 Polygelatine

80.50 (19.97)

£0.34 (£0.09)

 Starch

4.17 (2.87)

£0.12 (£0.06)

 Hypertonic saline

381.29 (51.37)

£2.82 (£0.38)

 Albumin

8.62 (6.12)

£0.71 (£0.44)

 Hartmann’s

1141.43 (95.80)

£2.05 (£0.17)

Consultant contacts

  

 Neurologist

17/441 (4 %)

£6.94 (£1.65)

 Cardiologist

12/441 (3 %)

£3.96 (£1.13)

 General surgeon

42/441 (10 %)

£12.71 (£1.87)

Pro-coagulants

  

 Factor VIIa

6/441 (1 %)

£13.54 (£5.49)

 Vitamin K

1/441 (<1 %)

£0.01 (£0.01)

 Ambulance for patients transferred/discharged to another acute hospital/institution

76/441 (17 %)

£39.64 (£4.14)

Total inpatient healthcare costs

--

£19,770.29 (£810.44) (95 % CI: £18,176.83 to £21,363.74)

  1. A&E Accident and Emergency, APTT Activated Partial Thromboplastin Time, APTTR Activated Partial Thromboplastin Time Ratio, CT Computed Tomography, ED Emergency Department, FFP Fresh Frozen Plasma, INR International Normalised Ratio, ICU Intensive Care Unit, mLs Millilitres, MRI Magnetic Resonance Imaging, PRBCs Packed Red Blood Cells, PT Prothrombin Time, SE Standard Error
  2. aFour patients arrived via own transport
  3. bIncludes estimates of ICU/ward stay/ventilation in acute hospitals to which patients were discharged or transferred