Burden of USA hospital charges for traumatic brain injury.
Burden of USA hospital charges for traumatic brain injury.
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DOI：
10.1080/02699052.2016.1217351
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发表时间：
2017
期刊：
影响因子：
1.9
通讯作者：
Mannix RC
中科院分区：
文献类型：
--
作者：
Marin JR;Weaver MD;Mannix RC
我们试图估计与美国医院因创伤性脑损伤 (TBI) 就诊相关的费用，比较 2006 年至 2010 年的费用，并评估与较高费用相关的因素。我们使用 2006 年至 2010 年全国急诊科样本数据库来估算与 TBI 相关的急诊科就诊和住院费用，并比较了随时间推移的收费趋势。我们使用多元线性回归来评估与访问费用相关的因素。 2010 年，与 TBI 相关的入院费用为 214 亿美元（95% 置信区间 (CI)：177 亿美元、252 亿美元），比 2006 年增加了 22%。导致出院或转院的急诊就诊费用为 82 亿美元（95% CI：7.4 美元、89 亿美元），比 2006 年增加了 94%。 在研究的所有年份中，与 TBI 相关的就诊比例明显高于因 TBI 就诊的比例 (P<0.001)。患者年龄和性别、西部地区、创伤中心状况、非儿科医院名称、大都市位置和医院所有权与较高费用独立相关。与 TBI 相关的医院就诊带来了巨大的费用负担，而且费用与就诊量不成比例地增加。患者和医院因素与较高的费用独立相关。这些发现以及减少收费负担和收费差异的方法值得进一步研究。
We sought to estimate charges associated with USA hospital visits for traumatic brain injury (TBI), compare charges from 2006 to 2010, and evaluate factors associated with higher charges. We used the Nationwide Emergency Department Sample database, 2006–2010 to estimate charges for emergency department visits and inpatient hospital stays associated with TBI and compared trends in charges over time. We used multivariable linear regression to evaluate factors associated with visit charges. In 2010, there were $21.4 billion (95% confidence interval (CI): $17.7 billion, $25.2 billion) in charges for TBI-related admissions, an increase of 22% from 2006. Charges for ED visits resulting in discharge or transfer were $8.2 billion (95% CI: $7.4, $8.9 billion), an increase of 94% from 2006. The proportion of charges for TBI-related visits was disproportionately higher than the proportion of visits for TBI across all years of the study (P<0.001). Patient age and gender, West region, trauma centre status, non-pediatric hospital designation, metropolitan location, and hospital ownership were independently associated with higher charges. There was a substantial charge burden from TBI-related hospital visits, and charges increased disproportionately to visit volume. There are patient and hospital factors independently associated with higher charges. These findings as well as methods to reduce the charge burden and charge disparities deserve further study.
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影响因子：
168.9
作者：
Huber-Wagner, Stefan;Lefering, Rolf;Kanz, Karl-Georg
通讯作者：
Kanz, Karl-Georg
DOI：
10.1097/ta.0b013e3181493080
发表时间：
2007-12-01
影响因子：
--
作者：
Faul, Mark;Wald, Marlena M.;Sattin, Richard W.
通讯作者：
Sattin, Richard W.
影响因子：
168.9
作者：
Kuppermann, Nathan;Holmes, James F.;Wootton-Gorges, Sandra L.
通讯作者：
Wootton-Gorges, Sandra L.
DOI：
10.1097/ta.0b013e318031afe3
发表时间：
2007-03-01
影响因子：
--
作者：
Davis, Keith L.;Joshi, Ashish V.;Candrilli, Sean D.
通讯作者：
Candrilli, Sean D.
影响因子：
3.5
作者：
Melnick, Glenn;Keeler, Emmett
通讯作者：
Keeler, Emmett