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脊髓损伤和疾病退伍军人临终时的主要医疗状况及退伍军人事务部医疗费用

Major medical conditions and VA healthcare costs near end of life for veterans with spinal cord injuries and disorders.

作者信息

Yu Wei, Smith Bridget, Kim Shirley, Chow Adam, Weaver Frances M

机构信息

Health Economics Resource Center, Department of Veterans Affairs (VA) Palo Alto Health Care System, Palo Alto, CA, USA.

出版信息

J Rehabil Res Dev. 2008;45(6):831-9. doi: 10.1682/jrrd.2006.08.0102.

DOI:10.1682/jrrd.2006.08.0102
PMID:19009469
Abstract

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.

摘要

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。

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