University of Massachusetts Medical School, 333 South Street, Shrewsbury, MA 01545, USA.
Expert Rev Pharmacoecon Outcomes Res. 2010 Apr;10(2):187-97. doi: 10.1586/erp.10.8.
Although injuries are a leading cause of morbidity and mortality in the USA, few prior studies exist on the costs of trauma care. This article estimates treatment costs of care for 12 months following injury. Primary and secondary data were collected on over 5000 moderate-to-severely injured patients 18-84 years of age discharged from 69 US hospitals. Acute and post-acute costs of care were estimated from a combination of data sources: UB92 hospital bills, patient surveys, medical record abstracts, and where available, Medicare claims. Key analysis variables were demographic characteristics, insurance status and nature and severity of injury. Mean 1-year cost per patient of trauma care in our population was $75,210. On average, 58% of cost was accounted for by the index hospitalization. Total 1-year treatment cost of adult major trauma in the USA was conservatively estimated to be US$27 billion annually (2005).
尽管在美国，损伤是发病率和死亡率的主要原因，但关于创伤治疗费用的研究甚少。本文旨在估算损伤后 12 个月的治疗费用。我们对 69 家美国医院出院的 5000 多名 18-84 岁中重度损伤患者进行了一级和二级数据收集。通过结合多种数据源（UB92 医院账单、患者调查、病历摘要以及在可能的情况下使用医疗保险索赔数据）来估算急性期和恢复期的治疗费用。关键分析变量包括人口统计学特征、保险状况以及损伤的性质和严重程度。我们人群中每位创伤患者的 1 年平均医疗费用为 75210 美元。平均而言，58%的费用来自于指数住院治疗。美国成人重大创伤的 1 年总治疗费用保守估计为每年 270 亿美元（2005 年）。
