Servicio de Neurología, Hospital Povisa de Vigo, Vigo, Pontevedra, España.
Neurologia. 2011 Jan-Feb;26(1):32-8. doi: 10.1016/j.nrl.2010.10.002. Epub 2010 Dec 8.
A financial estimate has been made of the costs of epilepsy in adults.
A prospective, observational study, over a period of 6 months, on epileptic patients over 14 years-old. Patients with concomitant diseases that could influence the outcome of the epilepsy were excluded. The direct costs included: treatment received, number of visits to neurology, primary care, and emergencies, number of days admitted to hospital, number and type of diagnostic tests, use of transport to and from hospital, and psychopedagogic and social support due to the epilepsy. The indirect costs were analysed according to, loss of work productivity of the patients, taking into account families where the patient needed supervision due to epilepsy. The total costs were derived from the sum of the direct and indirect costs. The intangible costs were calculated according to QOLIE-10 questionnaire.
The mean direct cost per patient was 1,055.2 €. The mean indirect financial costs came to 1,528.8 € per patient. The total cost associated to epilepsy was a mean of 2,584 € for each patient, mainly arising from loss of work days (p<.05). For intangible costs according to the QOLIE-10 scale a mean of 77.8 was obtained.
The greatest percentage of costs associated to epilepsy is due to the work productivity loss by the patients. The costs of psychological and social suffering in epilepsy lead to a deterioration in the quality of life.
对成人癫痫的成本进行了财务评估。
一项为期 6 个月的前瞻性观察性研究，针对 14 岁以上的癫痫患者。排除了患有可能影响癫痫结果的合并症的患者。直接成本包括：接受的治疗、神经科、初级保健和急诊就诊次数、住院天数、诊断测试的次数和类型、因癫痫而使用的交通往返医院的情况，以及因癫痫而进行的心理教育和社会支持。间接成本根据患者的工作生产力损失进行分析，同时考虑到因癫痫需要监护的家庭。总费用是直接成本和间接成本的总和。无形成本根据 QOLIE-10 问卷进行计算。
每位患者的平均直接成本为 1055.2 欧元。每位患者的平均间接财务成本为 1528.8 欧元。每位患者与癫痫相关的总费用平均为 2584 欧元，主要是由于工作日的损失（p<.05）。根据 QOLIE-10 量表，无形成本的平均值为 77.8。
与癫痫相关的最大成本百分比是由于患者的工作生产力损失。癫痫带来的心理和社会痛苦的成本导致生活质量下降。
