• Login
    View Item 
    •   Home
    • Colleges, Departments, and Organizations
    • College of Medicine - Phoenix
    • Scholarly Projects
    • Scholarly Projects 2019
    • View Item
    •   Home
    • Colleges, Departments, and Organizations
    • College of Medicine - Phoenix
    • Scholarly Projects
    • Scholarly Projects 2019
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UA Campus RepositoryCommunitiesTitleAuthorsIssue DateSubmit DateSubjectsPublisherJournalThis CollectionTitleAuthorsIssue DateSubmit DateSubjectsPublisherJournal

    My Account

    LoginRegister

    About

    AboutUA Faculty PublicationsUA DissertationsUA Master's ThesesUA Honors ThesesUA PressUA YearbooksUA CatalogsUA Libraries

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Healthcare Charges Incurred from Scorpion Envenomation Treated with Centruroides F(ab’)2 Antivenom

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    SP_2019_Roberts_Thesis.pdf
    Size:
    295.0Kb
    Format:
    PDF
    Download
    Thumbnail
    Name:
    SP_2019_Roberts_Poster.pdf
    Size:
    710.7Kb
    Format:
    PDF
    Download
    Author
    Roberts, Alexa
    Affiliation
    The University of Arizona College of Medicine – Phoenix
    Issue Date
    2019
    Keywords
    Toxicology
    Toxicology
    Envenomation
    Arizona
    MeSH Subjects
    Emergency Medicine
    
    Metadata
    Show full item record
    Publisher
    The University of Arizona.
    Description
    A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.
    URI
    http://hdl.handle.net/10150/633449
    Abstract
    Centruroides F(ab’)2 antivenom (AV) is a safe and effective treatment for bark scorpion envenomation; however, concern exists regarding the substantial charges associated with this therapy and resulting unexpected costs of treatment. This retrospective review seeks to quantitate patient charges associated with antivenom use to better understand its impact on patient and healthcare economics. This is a retrospective review of 527 patients presenting to a hospital system with severe scorpion envenomation between April 2013 and May 2015. Included patients had Centruroides scorpion envenomation and received AV. They were excluded if they were not a grade III or IV envenomation, did not receive antivenom or their clinical records were not available. Patient charges and hospital costs were acquired from institutional financial records and were included if total costs were accurate as defined by costs > $2500. Clinical manifestations, length of stay (LOS), method and amount of AV administration were abstracted. Continuous data were reported as medians with interquartile range and linear regression was utilized to determine predictors of outcomes. All patients had a grade 3 or 4 envenomation and received AV. The total number of vials received were 1 (18.2%) to a maximum of 7 (0.4%) with most patients receiving three vials (46.7%). Most patients received three vials of antivenom initially (52.6%) as compared to one vial (43.6%) and only few receiving two vials (3.8%). Median total charges were $28,060 ($18,805 - $33,742). Linear regression showed that total charges were predicted by total number of vials administered and LOS (adjusted R2 of 0.75). Charges of care were found to increase by $7901.59 per vial of AV and by $415.48 for each hour of LOS. The only predictors of total charges were age, number of vials and total length of stay. Correlation between total charges and costs was poor. Despite established safety and efficacy, anticipated patient charges appear to influence the manner in which bark scorpion antivenom is administered by healthcare providers.
    Type
    text
    Electronic Thesis
    Language
    en
    Collections
    Scholarly Projects 2019

    entitlement

     
    The University of Arizona Libraries | 1510 E. University Blvd. | Tucson, AZ 85721-0055
    Tel 520-621-6442 | repository@u.library.arizona.edu
    DSpace software copyright © 2002-2017  DuraSpace
    Quick Guide | Contact Us | Send Feedback
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.