Causes and costs of spinal cord injury in the United States
Causes and costs of spinal cord injury in the United States
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DOI：
10.1038/sj.sc.3100501
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发表时间：
1997-12-01
期刊：
影响因子：
2.2
通讯作者：
DeVivo, MJ
中科院分区：
文献类型：
--
作者：
DeVivo, MJ
在美国进行了一项横断面多中心研究，以估算每种原因造成的脊髓损伤的直接成本。随机抽取227例新发伤和508例伤后2~16年的人群为研究对象。在一年中收集了关于紧急医疗服务、住院、服务员护理、设备、用品、药物、环境改造、医生和门诊服务、疗养院、家庭援助、职业康复和杂项物品的所有费用的预期数据。以1995年美元计算，第一年的平均收费为：车祸233 947元、暴力217 868元、体育295 643元、跌倒185 019元及其他原因208 762元。每宗诉讼的经常性年费平均分别为33 439元、17 275元、27 488元、26 238元和23 510元。使用每个原因的平均受伤时年龄、2%的实际贴现率和国家脊髓损伤统计中心的最新生存数据，每个原因的平均终生费用分别为969 659美元、613 345美元、950 973美元、630 453美元和673 749美元。据估计，每年新发生的脊髓损伤病例有10000例，其中35.9%是由车祸引起的，29.5%是由暴力引起的，20.3%是由跌倒引起的。7.3%是由运动引起的，7%是由其他原因造成的，在美国，每年创伤性脊髓损伤的直接损失总额为车祸34.8亿美元，暴力18.1亿美元，跌倒12.8亿美元，体育6.94亿美元，其他原因4.72亿美元。在美国，所有引起脊髓损伤的直接成本总计为77.36亿美元。
A cross-sectional multicenter study was conducted to estimate the direct costs for each cause of spinal cord injury in the United States. Random samples of 227 new injuries and 508 persons 2-16 years postinjury were selected. Prospective data were collected during one year on all charges for emergency medical services, hospitalizations, attendant care, equipment, supplies, medications, environmental modifications, physician and outpatient services, nursing homes, household assistance, vocational rehabilitation, and miscellaneous items. In 1995 dollars, first year charges averaged $233 947 for vehicle crashes, $217 868 for violence, $295 643 for sports, $185 019 for falls and $208 762 for other causes. Recurring annual charges for each cause averaged $33 439, $17 275, $27 488, $26 238 and $23 510, respectively. Using average age at time of injury for each cause, a 2% real discount rate, and the most recent survival data from the National Spinal Cord Injury Statistical Center, average lifetime charges for each cause were $969 659, $613 345, $950 973, $630 453 and $673 749, respectively. Given an estimated 10 000 new cases of spinal cord injury occurring each year of which 35.9% are caused by vehicle crashes, 29.5% are caused by violence, 20.3% are caused by falls. 7.3% are caused by sports, and 7% result from other causes, annual aggregate direct costs of traumatic spinal cord injury in the United States are $3.48 billion for vehicle crashes, $1.81 billion for violence, $1.28 billion for falls, $694 million for sports and $472 million for other causes. Total di;ect costs for all causes of SCI in the United States are $7.736 billion.