Objectives
Cost analysis of the burn care is a well-defined challenge due to the large number and specialties of highly trained burn care personnel involved and extensive resources needed. The issue is getting more complex, due to different national, regional or even organizational reimbursement modalities.The aim of this study was to assess as much realistic possible cost of the burn care, issue by issue, in our Burn Center.


Methods
We analyzed retrospectively 44 patients divided in two equal groups;The SOC group and NXB group.The inclusion criteria for both Cohort group were the same. All the patients were with deep partial and full thickness burn. We compared different medical and economically important factors and measurements as cost-effectiveness parameters: analyzed days of hospitalization, timing to complete debridement, place of occupancy ( BU or ICU or OT), human resources, devices and disposables consuming, blood consuming.


Results
The preliminary results has indicated an important decrees of important cost drivers in our reality, around 30% of savings, overall expenses in favor of NXB group. The confidential interval analysis confirmed the saving in all variables applied in our study.


Conclusion
The limit of this study is a small number of cases and its validity on Italian health care sistem. The real measure to weigh the merits of NXB MIM compared to SOC, will be the final outcome of function, cosmesis and quality of life two years post injury that should be at least as good as the SOC.

6 - Economic analysis enzymatic debridement vs. standard of care in burn tretement preliminary data