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Background <p>Burns represent a major global public health concern, especially in low- and middle-income nations, where they cause high rates of morbidity and death as well as a large financial burden. More than a million Indians experience moderate-to-severe burns every year. Detailed, cost-focused research is lacking. This study fills this gap by calculating the direct costs of treating acute burn injuries in a government-run tertiary care environment.</p> Methods <p>In 2021, we retrospectively analyzed all acute burn patients hospitalized to a tertiary care hospital in Goa, India, and admitted to the Burns Unit. The research did not include capital or overhead expenditures; instead, it concentrated solely on direct costs, including drugs, medical supplies, investigative expenses, food, and staff pay. A bottoms-up methodology was used to assess costs, and hospital records provided the data. Microsoft Excel and Jamovi, an open-source program built on R, were used for statistical analysis.</p> Results <p>121 individuals were included in the study, and their average hospital stay was 14.3&#xa0;days, with a mean percentage of total body surface area (TBSA) burned of 21.2%. The total direct expenditures for the year came to ₹13,618,086 ($180,491 USD), with an average cost of ₹112,546 ($1,492 USD) per patient, an average daily cost of ₹7,845 ($104 USD) per patient, and an average cost of ₹5,303 ($70 USD) for each percentage point of TBSA burned. The biggest contributors to expenditure were staff salary and pharmaceuticals, accounting for 57.7% and 36.3% of the total spend, respectively.</p> Conclusion <p>The significant upfront expenses associated with acute burn care draw attention to the financial difficulties tertiary care hospitals in resource-constrained environments face. These results highlight the necessity of interventions to optimize resource allocation and save expenses without compromising the quality of service.</p>

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What is the direct cost of providing burn care at a burns unit in a tertiary care hospital in India? A health provider perspective

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年5月11日

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  • Frederick Satiro Vaz,
  • Yuri Dias-Amborcar,
  • Ritam Dessai,
  • Archana Milind Desai,
  • Sudeep Ramdas Lokapure

摘要

Background

Burns represent a major global public health concern, especially in low- and middle-income nations, where they cause high rates of morbidity and death as well as a large financial burden. More than a million Indians experience moderate-to-severe burns every year. Detailed, cost-focused research is lacking. This study fills this gap by calculating the direct costs of treating acute burn injuries in a government-run tertiary care environment.

Methods

In 2021, we retrospectively analyzed all acute burn patients hospitalized to a tertiary care hospital in Goa, India, and admitted to the Burns Unit. The research did not include capital or overhead expenditures; instead, it concentrated solely on direct costs, including drugs, medical supplies, investigative expenses, food, and staff pay. A bottoms-up methodology was used to assess costs, and hospital records provided the data. Microsoft Excel and Jamovi, an open-source program built on R, were used for statistical analysis.

Results

121 individuals were included in the study, and their average hospital stay was 14.3 days, with a mean percentage of total body surface area (TBSA) burned of 21.2%. The total direct expenditures for the year came to ₹13,618,086 ($180,491 USD), with an average cost of ₹112,546 ($1,492 USD) per patient, an average daily cost of ₹7,845 ($104 USD) per patient, and an average cost of ₹5,303 ($70 USD) for each percentage point of TBSA burned. The biggest contributors to expenditure were staff salary and pharmaceuticals, accounting for 57.7% and 36.3% of the total spend, respectively.

Conclusion

The significant upfront expenses associated with acute burn care draw attention to the financial difficulties tertiary care hospitals in resource-constrained environments face. These results highlight the necessity of interventions to optimize resource allocation and save expenses without compromising the quality of service.