@article{ref1,
title="The cost of burn transfers: a retrospective review of 7 years of admissions to a regional burn center",
journal="Journal of burn care and research",
year="2018",
author="Austin, Ryan E. and Schlagintweit, Sofie and Jeschke, Marc G. and Macdonald, Russell and Ahghari, Mahvareh and Shahrokhi, Shahriar",
volume="39",
number="2",
pages="229-234",
abstract="The transport of thermally injured patients can involve significant costs; however, not all thermally injured patients necessitate transfer to a burn center. The purpose of this study was to review transfers to an American Burn Association-verified regional burn center to determine whether the transfers were necessary and the cost associated with unnecessary transfers. A retrospective chart review identified 707 patients transferred to an American Burn Association-verified burn center with an acute burn injury during a 7-year period. For the purposes of this study, &quot;unnecessary transfer&quot; was defined as any patient admitted fewer than 7 days who did not undergo operative intervention. Transfer cost estimates were based on records from regional land paramedic and land and air medical transport services. In total, 27.3% of transfers were potentially &quot;unnecessary transfers,&quot; with an associated cost of approximately $227,396.93 (18.9% of total transfer costs in study). Average unnecessary transfer cost varied by method of transport: land ambulance (n = 130) $285.72, helicopter (n = 27) $4,136.34, and airplane (n = 15) $4,908.67. The transfer of thermally injured patients is associated with significant cost. Unnecessary transfers represent an inefficient use of a limited resource in an already strained healthcare system. The findings of this study suggest that further initiatives should be explored to ensure the appropriate transfer of thermally injured patients.<p /> <p>Language: en</p>",
language="en",
issn="1559-047X",
doi="10.1097/BCR.0000000000000577",
url="http://dx.doi.org/10.1097/BCR.0000000000000577"
}