@article{ref1,
title="Disability-adjusted life years and cost of health loss of hospitalised major trauma patients in New Zealand",
journal="New Zealand medical journal",
year="2022",
author="Gabbe, Belinda J. and Isles, Siobhan and McBride, Paul and Civil, Ian",
volume="135",
number="1563",
pages="62-69",
abstract="AIMS: The aims of this study were to quantify the burden, and the cost of health loss, following hospitalisation for major trauma in New Zealand. <br><br>METHOD: Hospitalised major trauma patients injured between July 2017 and June 2020 were extracted from the New Zealand Trauma Registry. Case-mix of major trauma in each year was summarised using descriptive statistics. Disability-adjusted life years (DALYs) were calculated for the cohort. A cost per DALY was applied to estimate the cost of health loss. <br><br>RESULTS: A total of 6,629 major trauma cases were recorded, rising from 2,072 in 2017-2018 to 2,191 in 2019-2020. The patient case-mix remained relatively consistent over the timeframe while the in-hospital mortality rate declined from 9.2% to 7.3%. Hospitalised major trauma patients accrued 22,718 DALYs (average 7,573 DALYs per year) at an estimated health loss cost of $1.02 billion ($341 million per year). The cost of health loss per case declined from $162,747 in 2017-2018 to $143,577 in 2019-2020. <br><br>CONCLUSION: The burden of major trauma is high. As injury is a preventable condition, the findings highlight the need for dedicated investment in both primary prevention and trauma care in New Zealand to reduce these avoidable costs.<p /> <p>Language: en</p>",
language="en",
issn="0028-8446",
doi="",
url="http://dx.doi.org/"
}