Hospitalization frequency and charges for neurocysticercosis, United States, 2003-2012.

Hospitalization frequency and charges for neurocysticercosis, United States, 2003-2012.
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DOI:
10.3201/eid2106.141324
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发表时间:
2015-06
影响因子:
11.8
通讯作者:
Flecker RH
Flecker RH
中科院分区:
医学2区
文献类型:
--
作者:
O'Neal SE;Flecker RH

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医院总费用超过9亿美元,近四分之三的住院患者是西班牙裔。脑囊虫病是一种脑部感染猪带绦虫幼虫包囊的疾病,在世界各地都会导致严重的神经系统疾病。为了评估脑囊虫病在美国的影响,我们回顾了2003-2012年全国住院患者样本中的住院出院数据,发现估计有18,584人因脑囊虫病住院和相关的医院费用总计9.08亿美元。西班牙裔美国人的住院风险最高(每10万人中有2.5人),这一比率是非西班牙裔白人的35倍。在所有住院的脑囊虫病患者中,近四分之三是西班牙裔。男性和年龄20-44岁也增加了风险。此外,与囊虫病有关的住院和相关费用远远超过疟疾的住院和相关费用,比所有其他被忽视的热带疾病的住院和相关费用的总和还要高。脑囊虫病在美国是一个日益严重的公共卫生问题,特别是在拉美裔美国人中,并给美国医疗保健系统造成了巨大的损失。
Total hospital charges exceeded US $900 million, and nearly three-quarters of hospitalized patients were Hispanic. Neurocysticercosis, brain infection with Taenia solium larval cysts, causes substantial neurologic illness around the world. To assess the effect of neurocysticercosis in the United States, we reviewed hospitalization discharge data in the Nationwide Inpatient Sample for 2003–2012 and found an estimated 18,584 hospitalizations for neurocysticercosis and associated hospital charges totaling >US $908 million. The risk for hospitalization was highest among Hispanics (2.5/100,000 population), a rate 35 times higher than that for the non-Hispanic white population. Nearly three-quarters of all hospitalized patients with neurocysticercosis were Hispanic. Male sex and age 20–44 years also incurred increased risk. In addition, hospitalizations and associated charges related to cysticercosis far exceeded those for malaria and were greater than for those for all other neglected tropical diseases combined. Neurocysticercosis is an increasing public health concern in the United States, especially among Hispanics, and costs the US health care system a substantial amount of money.
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