Direct medical costs of accidental falls for adults with transfemoral amputations
Direct medical costs of accidental falls for adults with transfemoral amputations
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DOI：
10.1177/0309364617704804
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发表时间：
2017-12-01
影响因子：
1.5
通讯作者：
Kaufman, Kenton
中科院分区：
文献类型：
--
作者：
Mundell, Benjamin;Kremers, Hilal Maradit;Kaufman, Kenton
背景资料：为经股截肢的活跃个体提供微处理器控制的膝关节，并相信假体降低了他们跌倒的风险。然而，这些假体价格昂贵，并且对于经股动脉截肢人群中的福尔斯跌倒的成本效益尚不清楚。为了评估微处理器控制的人工膝关节的增量成本和效益，需要确定经股动脉截肢术的成人中福尔斯的直接医疗成本。目的：我们描述了经股动脉截肢术的成人中福尔斯的直接医疗成本。研究设计：这是一项回顾性的、基于人群的、队列研究，研究对象是2000年至2014年间接受经股动脉截肢术的成人。方法：贝叶斯结构的时间序列方法被用来估计之间的成本差异fallers和non-fallers.Results：平均6个月的直接医疗费用福尔斯为6名住院成人经股动脉截肢术为25，652美元（10，468美元，38，872美元）。10名成人急诊平均费用为18，091美元（US$-7，820，US $57，368）。结论：成人经股动脉截肢术的福尔斯费用昂贵。福尔斯导致住院治疗的6个月的费用是类似的老年人口谁也在一个增加的风险falling.Clinical relevance下降成本在成人经股动脉截肢的估计可以提供决策者额外的洞察力时，确定是否要涵盖处方微处理器控制的假肢膝关节。
Background: Active individuals with transfemoral amputations are provided a microprocessor-controlled knee with the belief that the prosthesis reduces their risk of falling. However, these prostheses are expensive and the cost-effectiveness is unknown with regard to falls in the transfemoral amputation population. The direct medical costs of falls in adults with transfemoral amputations need to be determined in order to assess the incremental costs and benefits of microprocessor-controlled prosthetic knees.Objective: We describe the direct medical costs of falls in adults with a transfemoral amputation.Study design: This is a retrospective, population-based, cohort study of adults who underwent transfemoral amputations between 2000 and 2014.Methods: A Bayesian structural time series approach was used to estimate cost differences between fallers and non-fallers.Results: The mean 6-month direct medical costs of falls for six hospitalized adults with transfemoral amputations was US$25,652 (US$10,468, US$38,872). The mean costs for the 10 adults admitted to the emergency department was US$18,091 (US$-7,820, US$57,368).Conclusion: Falls are expensive in adults with transfemoral amputations. The 6-month costs of falls resulting in hospitalization are similar to those reported in the elderly population who are also at an increased risk of falling.Clinical relevance Estimates of fall costs in adults with transfemoral amputations can provide policy makers with additional insight when determining whether or not to cover a prescription for microprocessor-controlled prosthetic knees.