Review of gunshot wounds in Dayton, Ohio. Demographics, anatomic areas, results, and costs
M. Fiedler, L. M. Jones, S. F. Miller and R. K. Finley Jr
A retrospective review of 210 admissions for gunshot wounds was performed
to evaluate the frequency that various anatomic areas were injured,
complication rates, results of treatment, and costs. Seventy-two percent of
patients had a single anatomic site involved. The complication rate was 13%
and the death rate was 10.9%. A good result was obtained in 72%, but 12.4%
had long-term disabilities. The average length of stay was 11 days with an
average cost of +5,682 per patient. Application of today's prospective
payment under diagnosis-related groups suggests this system of payment may
adversely affect the delivery of trauma care in this country.