Los Angeles County Department of Public Health, Acute Communicable Disease Control Unit, Los Angeles, CA, USA.
Am J Trop Med Hyg. 2010 Jul;83(1):106-10. doi: 10.4269/ajtmh.2010.09-0494.
Statewide hospital discharge data were used to assess the economic burden of neurocysticercosis in Los Angeles County (LAC) from 1991 through 2008. A neurocysticercosis hospitalization was defined as having a discharge diagnosis of cysticercosis in addition to convulsions, seizures, hydrocephalus, cerebral edema or cerebral cysts. This study identified 3,937 neurocysticercosis hospitalizations, with the number of annual hospitalizations remaining relatively unchanged over the study period (R(2) = 0.01), averaging 219 per year (range 180-264). The total of all neurocysticercosis hospitalization charges over the study period was $136.2 million, averaging $7.9 million per year. The average charge per patient was $37.6 thousand and the most common payment method was Medicaid (43.9%), followed by private insurance (24.5%). The average length of stay was 7.2 days. The substantial number of hospitalizations and significant economic cost underscore the importance of neurocysticercosis in LAC.
利用全州范围的医院出院数据，评估了 1991 年至 2008 年期间洛杉矶县（LAC）神经囊虫病的经济负担。神经囊虫病的住院治疗定义为除了抽搐、癫痫、脑积水、脑水肿或脑囊肿之外，还具有囊虫病的出院诊断。本研究共发现 3937 例神经囊虫病住院治疗病例，研究期间每年的住院治疗数量相对保持不变（R²=0.01），平均每年 219 例（范围 180-264）。研究期间所有神经囊虫病住院治疗费用总计为 1.362 亿美元，平均每年 7900 万美元。每位患者的平均费用为 37.6 千美元，最常见的付款方式是医疗补助（43.9%），其次是私人保险（24.5%）。平均住院时间为 7.2 天。大量的住院治疗和巨大的经济成本突显了神经囊虫病在 LAC 的重要性。
