Economic implications of unintentional carbon monoxide poisoning in the United States and the cost and benefit of CO detectors.
Economic implications of unintentional carbon monoxide poisoning in the United States and the cost and benefit of CO detectors.
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DOI：
10.1016/j.ajem.2017.08.048
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发表时间：
2018-03
期刊：
影响因子：
--
通讯作者：
Sircar K
中科院分区：
文献类型：
--
作者：
Ran T;Nurmagambetov T;Sircar K
无意的非火灾相关 (UNFR) 一氧化碳 (CO) 中毒一直是美国中毒的主要原因之一。目前对其经济负担的估计对于 UNFR CO 中毒预防的资源优化分配非常重要。本研究旨在估计 UNFR CO 中毒的发病成本。我们还比较了在住宅中安装一氧化碳探测器的成本和效益。我们使用了来自医疗保健成本和利用项目 (HCUP) 的 2010-2014 年收费和成本数据，以及 Truven© Health MarketScan 商业索赔和遭遇以及医疗保险补充数据。我们直接衡量发病成本作为不同医疗服务成本的总和。安装 CO 探测器的效益是通过总结可避免的发病成本和死亡率成本（生命价值）来估计的。 CO 探测器的成本是使用 CO 探测器的平均市场价格计算的。我们还通过将收益除以成本来计算收益成本比。所有支出均折算为 2013 年美元。对于 UNFR 一氧化碳中毒，每年的总医疗费用在 33.6 美元到 3770 万美元之间。每年的非卫生部门费用从 3.7 美元到近 440 万美元不等。效益与成本比可高达 7.2 比 1。 UNFR 一氧化碳中毒在美国造成巨大的经济负担。在家中使用一氧化碳探测器来预防 UNFR 一氧化碳中毒的好处可大大超过安装成本。公共卫生计划可以利用这些发现来促进家庭中广泛安装一氧化碳探测器。
Unintentional non-fire-related (UNFR) carbon monoxide (CO) poisoning has been among the leading causes of poisoning in the United States. Current estimation of its economic burden is important for an optimal allocation of resources for UNFR CO poisoning prevention. This study was to estimate the morbidity costs of UNFR CO poisoning. We also compared the costs and benefits of installing CO detectors in residences. We used 2010–2014 charges and cost data from Healthcare Cost and Utilization Project (HCUP), and Truven© Health MarketScan Commercial Claims and Encounters and Medicare Supplemental data. We directly measured the morbidity cost as the summation of costs for different healthcare services. Benefit of installing CO detector was estimated by summing up the avoidable morbidity cost and mortality cost (value of life). Cost of CO detectors was calculated using the average market price of CO detectors. We also calculated the benefit-to-cost ratio by dividing the benefit by its cost. All expenditures were converted into 2013 U.S. dollars. For UNFR CO poisoning, total annual medical cost ranged from $33.6 to $37.7 million. Annual non-health-sector costs varied from $3.7 to almost $4.4 million. The benefit-to-cost ratio can be as high as 7.2 to 1. UNFR CO poisoning causes substantial economic burden in the U.S. The benefit of using CO detectors in homes to prevent UNFR CO poisoning can considerably exceed the cost of installation. Public health programs could use these findings to promote broad installation of CO detectors in homes.
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DOI：
10.1097/phh.0b013e318221b1d1
发表时间：
2012-05-01
影响因子：
3.3
作者：
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