Klug Marilyn G, Burd Larry
Department of Pediatrics, North Dakota Fetal Alcohol Syndrome Center, University of North Dakota School of Medicine and Health Sciences, 501 N. Columbia Road, Grand Forks, ND 58203, USA.
Neurotoxicol Teratol. 2003 Nov-Dec;25(6):763-5. doi: 10.1016/j.ntt.2003.07.012.
Fetal alcohol syndrome (FAS) is a common developmental disability. FAS is thought to be 100% preventable. While this is a theoretical truth, a prevention rate of 100% appears unlikely in the near future. However, several prevention strategies are available. In this paper, we examine the potential cost savings from prevention of one case of FAS each year in the state of North Dakota. We utilized the North Dakota Health Claims Database to examine annual cost of health care for children birth through 21 years of age with FAS and controls. The mean annual cost of health care for children birth through 21 years of age with FAS was US2842 dollars (n=45). This is US2342 dollars per capita more than the annual average cost of care for children in North Dakota who do not have FAS (US$500 per year). Prevention of one case of FAS per year in North Dakota would result in a cost savings of US128,810 dollars in 10 years and US491,820 dollars after 20 years. After 10 years of prevention, the annual savings in health care costs alone for one case of FAS would be US23,420 dollars.
胎儿酒精综合征（FAS）是一种常见的发育障碍。FAS被认为是100%可预防的。虽然这在理论上是事实，但在不久的将来，100%的预防率似乎不太可能实现。然而，有几种预防策略可供采用。在本文中，我们研究了北达科他州每年预防一例FAS可能节省的成本。我们利用北达科他州健康索赔数据库，研究了患有FAS的儿童从出生到21岁以及对照组儿童的年度医疗保健成本。患有FAS的儿童从出生到21岁的年度医疗保健平均成本为2842美元（n = 45）。这比北达科他州没有FAS的儿童的年度平均护理成本（每年500美元）人均高出2342美元。北达科他州每年预防一例FAS，10年后将节省成本128,810美元，20年后将节省491,820美元。经过10年的预防，仅一例FAS每年在医疗保健成本方面的节省就将达到23,420美元。
