Vaca Federico, Mai Danny, Anderson Craig L, Fox John Christian, Ferrarella Nik
University of California-Irvine School of Medicine, Center for Trauma and Injury Prevention Research, Department of Emergency Medicine, Orange, California, USA.
Clin Med Res. 2007 Oct;5(3):149-54. doi: 10.3121/cmr.2007.761.
To correlate the types of skatepark-related injuries with medical expenses and the monetary effects of time missed from work or school.
Prospective case series and survey with repeat measures over 1 year.
Southern California Level I Trauma Center and Emergency Department.
Subjects age 7 years or older who sustained an injury at a local skatepark and treated in the emergency department were included in the study.
A skatepark-related injury survey was conducted at the time of the subject's emergency department evaluation. Thereafter, subjects were contacted by telephone at 1 week and 1, 3, 6, 9 and 12 months post-injury to assess the extent of ongoing follow-up medical care, time lost from work and school for both the subject and parents, and the degree of self-reported disability. The costs of injury were estimated using accepted econometric methods. The cost of medical care and lost household productivity were estimated using data specific to the nature of the injury and the body part injured.
Skatepark-related injuries resulted in a mean loss of 1.1 school days and 5.5 work days to the subject and family. The mean total injury costs were $3,167, of which 64% were medical costs and 28% were wages lost by the subject and family. Costs were much greater for subjects aged 26 years and older than for younger subjects and for those with more severe injuries than for less severe injuries.
Skatepark injuries resulted in substantial medical costs and lost wages. Injured skatepark users 26 years and older and those with more severe injuries had the highest cost.
将滑板公园相关损伤的类型与医疗费用以及误工或误学造成的经济影响相关联。
前瞻性病例系列研究及为期1年的重复测量调查。
南加州一级创伤中心和急诊科。
年龄在7岁及以上、在当地滑板公园受伤并在急诊科接受治疗的受试者纳入本研究。
在受试者急诊科评估时进行滑板公园相关损伤调查。此后,在受伤后1周、1、3、6、9和12个月通过电话联系受试者,以评估持续的后续医疗护理程度、受试者及其父母的误工和误学时间,以及自我报告的残疾程度。使用公认的计量经济学方法估算损伤成本。根据损伤性质和受伤身体部位的具体数据估算医疗护理成本和家庭生产力损失。
滑板公园相关损伤导致受试者及其家庭平均误工5.5天、误学1.1天。损伤总成本平均为3167美元,其中64%为医疗成本,28%为受试者及其家庭损失的工资。26岁及以上受试者的成本远高于年轻受试者,伤势较重者的成本高于伤势较轻者。
滑板公园损伤导致了高昂的医疗成本和工资损失。26岁及以上的受伤滑板使用者以及伤势较重者的成本最高。