Yu Wei, Smith Bridget, Kim Shirley, Chow Adam, Weaver Frances M
Health Economics Resource Center, Department of Veterans Affairs (VA) Palo Alto Health Care System, Palo Alto, CA, USA.
J Rehabil Res Dev. 2008;45(6):831-9. doi: 10.1682/jrrd.2006.08.0102.
We analyzed healthcare costs and medical conditions for 2,008 veterans with spinal cord injuries and disorders (SCI/Ds) near end of life. The average age at SCI/D onset and/ or occurrence was 42 years and at death was 66 years. The conditions that incurred the most costs included cancer (20.9%), influenza and/or pneumonia (15.1%), heart disease (13.5%), septicemia (5.9%), diabetes (5.3%), and stroke (5.1%). The average cost was $24,900 in the second year before end of life and reached $61,900 in the final year. Before end of life, costs accelerated during the final year from $3,100 in month 12 to $14,600 in the final month.
我们分析了2008名临终前患有脊髓损伤和疾病(SCI/Ds)的退伍军人的医疗费用和医疗状况。SCI/D发病和/或发生时的平均年龄为42岁,死亡时的平均年龄为66岁。产生费用最高的疾病包括癌症(20.9%)、流感和/或肺炎(15.1%)、心脏病(13.5%)、败血症(5.9%)、糖尿病(5.3%)和中风(5.1%)。临终前第二年的平均费用为24,900美元,最后一年达到61,900美元。在临终前,费用在最后一年加速增长,从第12个月的3,100美元增至最后一个月的14,600美元。