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2002-2007 年美国青少年机动车事故相关住院治疗中影响住院费用和住院时间的因素。

Factors affecting hospital charges and length of stay from teenage motor vehicle crash-related hospitalizations among United States teenagers, 2002-2007.

机构信息

University of Iowa Injury Prevention Research Center, United States.

出版信息

Accid Anal Prev. 2011 May;43(3):595-600. doi: 10.1016/j.aap.2010.07.019. Epub 2010 Dec 18.

DOI:10.1016/j.aap.2010.07.019
PMID:21376843
Abstract

Motor vehicle crashes are the leading cause of death for all teenagers, and each year a far greater number of teens are hospitalized with non-fatal injuries. This retrospective cohort study used the National Inpatient Sample data to examine hospitalizations from the years 2002 to 2007 for 15-18-year-old teenagers who had been admitted due to a motor vehicle crash. More than 23,000 teens were hospitalized for motor vehicle-related crash injuries each year, for a total of 139,880 over the 6-year period. Total hospital charges exceeded $1 billion almost every year, with a median hospital charge of more than $25,000. Older teens, boys, those with fractures, internal injuries or intracranial injuries, and Medicaid/Medicare as a payer were associated with higher hospital charges and longer lengths of stay. These high charges and hospitalization periods pose a significant burden on teens, their families, and the health care system.

摘要

机动车事故是导致所有青少年死亡的主要原因,每年因非致命伤而住院治疗的青少年人数更多。这项回顾性队列研究使用国家住院患者样本数据,调查了 2002 年至 2007 年期间因机动车事故而住院的 15 至 18 岁青少年患者。每年有超过 2.3 万名青少年因机动车相关事故受伤住院,6 年间总计有 139880 人。几乎每年的总住院费用都超过 10 亿美元,中位数的住院费用超过 25000 美元。年龄较大的青少年、男孩、有骨折、内部损伤或颅内损伤的青少年,以及医疗补助/医疗保险作为支付者,与更高的住院费用和更长的住院时间相关。这些高昂的费用和住院时间给青少年、他们的家庭和医疗保健系统带来了巨大的负担。

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