Accession Number:

AD1115619

Title:

The Cost of Army Injuries: Lower Extremity Fractures Among Active Duty Soldiers, CY 2017

Descriptive Note:

[Technical Report, Final Report]

Corporate Author:

US Army Public Health CenterARMED FORCES HEALTH SURVEILLANCE CENTER SILVER SPRING MD

Report Date:

2020-11-17

Pagination or Media Count:

30

Abstract:

This report describes the results of implementing a methodology for examining the economic burden of injuries to the U.S. Army. Focusing on lower extremity fractures, the results indicate the cost to the Army for these injuries in 2017 was approximately 116M. Direct medical expenses totaled 24M and indirect medical costs totaled 92M 900K lost duty due to hospital stays 91M limited duty. Foot and toe injuries along with lower leg and ankle injuries accounted for 26,213 medical encounters 89 and more than 103M of overall costs 116M. Costs vary by location of care. In outpatient settings, initial visits for foot and toe injuries accounted for the highest total cost 49M overall. Direct medical costs totaled 1.2M, and indirect medical costs limited duty were 48M. Foot and toe injuries also had the highest estimated limited duty days 353,520 and average cost per encounter 17K, while lower leg and ankle injuries had the greatest number of encounters 13,708. In contrast, among lower extremity fractures treated in inpatient settings, the highest average cost per encounter was for hip injuries 43K. Lower leg and ankle fractures treated in inpatient settings had the greatest number of initial encounters 281, highest estimated limited duty days 33,720, and highest costs, at just over 9M 4.8M in direct medical costs and 4.5M in indirect medical costs. This project outlines a methodology for future Army injury cost estimates. The finding that the majority of costs related to fractures is due to estimated days of lost or restricted duty and associated loss of productivity validates the need to include indirect costs estimates as a part of injury overall cost calculations.

Descriptors:

Subject Categories:

  • Medicine and Medical Research
  • Military Forces and Organizations
  • Economics and Cost Analysis

Distribution Statement:

[A, Approved For Public Release]