European journal of trauma and emergency surgery : official publication of the European Trauma Society
Health economic evaluation of polytrauma treatment in the current aG-DRG system - Results of a Level I Trauma Center
By Hierl K, Thiedemann C, Kerschbaum M and 2 others.
Abstract
Purpose
Resource-intensive polytrauma care is associated with high treatment and readiness costs and poses a financial challenge for hospitals. The aim of this retrospective single-center study of the years 2020 to 2022 was to analyze polytrauma reimbursements and costs.
Methods
Based on billing and clinical data of 201 polytrauma cases from a German University Hospital and Level I Trauma Center, revenues and costs of the eleven MDC 21 A polytrauma DRGs were analyzed. Ratios of the revenue in relation to LOS, ventilation hours, OR time and implant costs as well as personnel costs were calculated. Contribution margins were determined as an upper-bound estimate.