Cost-effectiveness of a district trauma hospital in Battambang, Cambodia

World J Surg. 2008 Nov;32(11):2450-3. doi: 10.1007/s00268-008-9708-4.


Background: The Emergency Hospital in Battambang, Cambodia, is essentially a surgical center for victims of injuries.

Methods: Using methods previously described, operating costs were calculated, and effectiveness of treatment was estimated for 957 patients undergoing 895 surgical procedures over a 3 month period (October--December 2006).

Results: Results of the cost-effectiveness analysis are compared to the few existing ones in the literature.

Conclusion: At $77.4 per DALY averted, surgery for trauma in such a context is deemed very cost-effective and compares favorably to other non-surgical public health interventions.

MeSH terms

  • Adolescent
  • Adult
  • Cambodia
  • Child
  • Cohort Studies
  • Cost-Benefit Analysis
  • Female
  • Hospital Costs*
  • Hospitals, District / economics*
  • Humans
  • Male
  • Quality-Adjusted Life Years
  • Surgicenters / economics*
  • Trauma Centers / economics*
  • Wounds and Injuries / economics
  • Wounds and Injuries / surgery*
  • Young Adult