The direct costs of fatal and non-fatal falls among older adults - United States.
The direct costs of fatal and non-fatal falls among older adults - United States.
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DOI：
10.1016/j.jsr.2016.05.001
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发表时间：
2016-09
影响因子：
4.1
通讯作者：
Lee R
中科院分区：
文献类型：
--
作者：
Burns ER;Stevens JA;Lee R
这项研究试图按性别和年龄组估计2012年美国65岁或以上成年人在医院、急诊室和门诊环境中致命性和非致命性跌倒伤害的发病率、平均成本和总直接医疗成本，并报告因跌倒而产生的总直接医疗成本高达2015美元。发病率数据来自2012年国家生命统计系统、2012年医疗成本和利用项目-全国住院样本、2012年医疗利用计划国家急诊科样本和2007年医疗支出小组调查。致命跌倒的费用来自疾病控制和预防中心基于Web的伤害统计查询和报告系统；非致命跌倒的费用基于1998/1999年联邦医疗保险服务费用5%标准分析文件中的索赔。使用个人消费支出指数中的医疗保健部分，成本被夸大到2015年的估计数。2012年，有24,190例致命性伤害和320万例非致命性跌倒相关的医疗伤害。2012年，致命伤害的直接医疗费用总计6.165亿美元，非致命伤害的直接医疗费用为303亿美元，2015年分别上升至6.375亿美元和313亿美元。跌倒的发生率和总费用随着年龄的增长而增加，在女性中更高。老年人，特别是老年妇女接受医疗治疗的跌倒与巨大的经济成本有关。广泛实施以证据为基础的预防跌倒干预措施对于减少与这些伤害相关的发病率和医疗费用至关重要。
This study sought to estimate the incidence, average cost, and total direct medical costs for fatal and non-fatal fall injuries in hospital, ED, and out-patient settings among U.S. adults aged 65 or older in 2012, by sex and age group and to report total direct medical costs for falls inflated to 2015 dollars. Incidence data came from the 2012 National Vital Statistics System, 2012 Healthcare Cost and Utilization Project-Nationwide Inpatient Sample, 2012 Health Care Utilization Program National Emergency Department Sample, and 2007 Medical Expenditure Panel Survey. Costs for fatal falls were derived from the Centers for Disease Control and Prevention’s Web-based Injury Statistics Query and Reporting System; costs for non-fatal falls were based on claims from the 1998/1999 Medicare fee-for-service 5% Standard Analytical Files. Costs were inflated to 2015 estimates using the health care component of the Personal Consumption Expenditure index. In 2012, there were 24,190 fatal and 3.2 million medically treated non-fatal fall related injuries. Direct medical costs totaled $616.5 million for fatal and $30.3 billion for non-fatal injuries in 2012 and rose to $637.5 million and $31.3 billion, respectively, in 2015. Fall incidence as well as total cost increased with age and were higher among women. Medically treated falls among older adults, especially among older women, are associated with substantial economic costs. Widely implementing evidence-based interventions for fall prevention is essential to decrease the incidence and healthcare costs associated with these injuries.
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影响因子：
7.7
作者：
Wiener, JM;Tilly, J
通讯作者：
Tilly, J
影响因子：
3.3
作者：
Boyle, Nichola;Naganathan, Vasi;Cumming, Robert G.
通讯作者：
Cumming, Robert G.
DOI：
10.1111/j.1532-5415.2010.02816.x
发表时间：
2010-05-01
影响因子：
6.3
作者：
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通讯作者：
Phelan, Elizabeth A.
影响因子：
3.7
作者：
Stevens, J. A.;Corso, P. S.;Miller, T. R.
通讯作者：
Miller, T. R.
影响因子：
9.7
作者：
Dunn, Abe;Rittmueller, Lindsey;Whitmire, Bryn
通讯作者：
Whitmire, Bryn