Cost of fetal alcohol spectrum disorders
Cost of fetal alcohol spectrum disorders
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DOI：
10.1002/ajmg.c.30015
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发表时间：
2004-05-15
影响因子：
3.1
通讯作者：
Harwood, R
中科院分区：
文献类型：
--
作者：
Lupton, C;Burd, L;Harwood, R
胎儿酒精综合征（FAS）是一种常见的可识别的致畸原因，智力低下，神经功能缺损，精神障碍和发育障碍。准确估计胎儿酒精综合症患者的护理成本对于为医疗保健、发育障碍服务、特殊教育和其他服务系统提供适当资金以及优先为公共卫生预防工作提供资金至关重要。FAS患者的护理成本可以概念化为一个人或一个群体的年度护理成本，或个人的终身护理成本。美国的年度费用估计数从1984年的7 500万美元到1998年的40亿美元不等。估计终生费用从1980年的596 000美元到1988年的140万美元不等。在对通货膨胀和人口变化进行调整后，2002年的年度费用总额和终生费用估计数较高。FAS越来越被认为是一个大的公共卫生问题，在预防未来病例和预防受影响者过度残疾和过早死亡方面具有很大的潜力。在美国，每天有6-22名患有FAS的婴儿出生，多达87-103名婴儿出生时患有产前酒精暴露导致的其他损伤。更新和改进关于FAS的成本数据应该是研究的优先事项。(C)2004 Wiley-Liss，Inc.
Fetal alcohol syndrome (FAS) is a common identifiable teratogenic cause of mental retardation, neurological deficit, mental disorders, and developmental disabilities. Accurate estimates of the cost of care for persons with FAS are essential for appropriate funding of health care, developmental disabilities services, special education, and other service systems, as well as prioritizing funding of public health prevention efforts. The cost of care for individuals with FAS can be conceptualized as the annual cost of care for one person or a population, or as the lifetime cost of care for an individual. Annual cost estimates for the United States range from $75 million in 1984 to $4.0 billion in 1998. Estimates of lifetime cost vary from $596,000 in 1980 to $1.4 million in 1988. After adjustments for changes in inflation and population, 2002 estimates of total annual cost and lifetime cost are higher. FAS is increasingly being recognized as a large public health problem with high potential for the prevention of future cases and for the prevention of excess disability and premature mortality in persons who are affected. Each day, from 6-22 infants with FAS are born in the United States, and as many as 87-103 more are born with other impairments resulting from prenatal alcohol exposure. Updated and improved cost data on FAS should be a research priority. (C) 2004 Wiley-Liss, Inc.