Use of Statewide Hospital Discharge Data to Evaluate the Economic Burden of Neurocysticercosis in Los Angeles County (1991-2008)
Use of Statewide Hospital Discharge Data to Evaluate the Economic Burden of Neurocysticercosis in Los Angeles County (1991-2008)
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DOI：
10.4269/ajtmh.2010.09-0494
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发表时间：
2010-07-01
影响因子：
3.3
通讯作者：
Mascola, Laurene
中科院分区：
文献类型：
--
作者：
Croker, Curtis;Reporter, Roshan;Mascola, Laurene
使用全州范围的出院数据来评估1991年至2008年洛杉矶县(LAC)脑囊虫病的经济负担。脑囊虫病住院的定义是除了惊厥、癫痫、脑积水、脑水肿或脑囊肿外，还有囊虫病的出院诊断。这项研究确定了3937例脑囊虫病住院患者，在研究期间，年度住院患者的数量相对保持不变(R(2)=0.01)，平均每年219例(范围180-264)。在研究期间，所有脑囊虫病住院费用总计1.362亿美元，平均每年790万美元。平均每人收费37.6万美元，最常见的支付方式是医疗补助(43.9%)，其次是私人保险(24.5%)。平均住院时间为7.2天。大量的住院治疗和巨大的经济成本凸显了脑囊虫病在拉丁美洲和加勒比地区的重要性。
Statewide hospital discharge data were used to assess the economic burden of neurocysticercosis in Los Angeles County (LAC) from 1991 through 2008. A neurocysticercosis hospitalization was defined as having a discharge diagnosis of cysticercosis in addition to convulsions, seizures, hydrocephalus, cerebral edema or cerebral cysts. This study identified 3,937 neurocysticercosis hospitalizations, with the number of annual hospitalizations remaining relatively unchanged over the study period (R(2) = 0.01), averaging 219 per year (range 180-264). The total of all neurocysticercosis hospitalization charges over the study period was $136.2 million, averaging $7.9 million per year. The average charge per patient was $37.6 thousand and the most common payment method was Medicaid (43.9%), followed by private insurance (24.5%). The average length of stay was 7.2 days. The substantial number of hospitalizations and significant economic cost underscore the importance of neurocysticercosis in LAC.