Incidence and lifetime costs of injuries in the United States
Incidence and lifetime costs of injuries in the United States
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DOI：
10.1136/ip.2005.010983
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发表时间：
2006-08-01
影响因子：
3.7
通讯作者：
Zaloshnja, E.
中科院分区：
文献类型：
--
作者：
Corso, P.;Finkelstein, E.;Zaloshnja, E.
背景资料：在国家或国际一级评估伤害经济负担的标准方法并不存在。目的：使用美国最新的数据来衡量国家发生率、医疗成本和医疗伤害的生产力损失，作为类似发达国家进行经济负担分析的案例研究。方法：作者综合了几组数据来估计2000年致命和非致命伤害的发生率。他们计算了单位医疗和生产力成本，并将这些成本乘以相应的发病率估计值，得出2000年发生的伤害的总终身成本。主要结果指标：发病率、医疗成本、生产力损失和按年龄组、性别和机制分层的伤害总成本。2000年，超过5000万美国人经历了医疗伤害，导致终身成本达4060亿美元，其中800亿美元用于医疗，3260亿美元用于生产力损失。男性的受伤率比女性高20%。由福尔斯跌倒或被物体击中造成的伤害占受伤人数的44%以上。从1985年到2000年，美国医疗伤害的发生率下降了15%。对于那些年龄在0 - 44岁，受伤的发病率下降了20%以上，而75岁及以上的人经历了20%increases.Conclusions：这些国家的负担估计提供了明确的证据，大的健康和经济负担的伤害。这项研究可作为其他国家的模板，或用于国家间比较。
Background: Standardized methodologies for assessing economic burden of injury at the national or international level do not exist.Objective: To measure national incidence, medical costs, and productivity losses of medically treated injuries using the most recent data available in the United States, as a case study for similarly developed countries undertaking economic burden analyses.Method: The authors combined several data sets to estimate the incidence of fatal and non-fatal injuries in 2000. They computed unit medical and productivity costs and multiplied these costs by corresponding incidence estimates to yield total lifetime costs of injuries occurring in 2000.Main outcome measures: Incidence, medical costs, productivity losses, and total costs for injuries stratified by age group, sex, and mechanism.Results: More than 50 million Americans experienced a medically treated injury in 2000, resulting in lifetime costs of $406 billion; $80 billion for medical treatment and $326 billion for lost productivity. Males had a 20% higher rate of injury than females. Injuries resulting from falls or being struck by/against an object accounted for more than 44% of injuries. The rate of medically treated injuries declined by 15% from 1985 to 2000 in the US. For those aged 0 - 44, the incidence rate of injuries declined by more than 20%; while persons aged 75 and older experienced a 20% increase.Conclusions: These national burden estimates provide unequivocal evidence of the large health and financial burden of injuries. This study can serve as a template for other countries or be used in intercountry comparisons.