%0 Journal Article
%T The impact of injuries on health service resource use and costs in primary and secondary care in the English NHS
%J Journal of public health (Oxford)
%D 2015
%A Kellezi, B.
%A Baines, D. L.
%A Coupland, C.
%A Beckett, K.
%A Barnes, J.
%A Sleney, Judith
%A Christie, N.
%A Kendrick, D.
%V ePub
%N ePub
%P ePub-ePub
%X BACKGROUND: Injuries in working age adults are common, but few studies examine NHS resource use or costs. <br><br>METHODS: Costing study based on a cohort of 16- to 70-year olds admitted to hospital following unintentional injury in NHS Trusts in four UK centres. Participants completed resource-use questionnaires up to 12 months post-injury. Primary and secondary care, aids, adaptations, appliances and prescribed medications were costed. Mean costs by injury type and age group and costs per clinical commissioning group (CCG) were estimated. <br><br>RESULTS: A total of 668 adults participated. Follow-up rates ranged from 77% at 1 month to 65% at 12 months. The mean cost of injuries over 12 months was £4691 per participant. Costs were highest for hip fractures (£5159), lower limb fractures (£4969) and multiple injuries (£4969). Secondary care accounted for 87% of mean costs across all injuries and primary care for 10%. The mean cost per CCG was £7.3 million (range £1.8 million-£25.6 million). The total cost across all English CCGs was £1.53 billion. <br><br>CONCLUSIONS: Unintentional injuries in working age adults result in high levels of NHS resource use and costs in the year following injury. Commissioning effective injury prevention interventions may reduce these costs.<p /> <p>Language: en</p>
%G en
%I Oxford University Press
%@ 1741-3842
%U http://dx.doi.org/10.1093/pubmed/fdv173