Acute Communicable Disease Control Program, County of Los Angeles Department of Public Health, Los Angeles, California, United States of America.
PLoS Negl Trop Dis. 2012 Jan;6(1):e1480. doi: 10.1371/journal.pntd.0001480. Epub 2012 Jan 24.
To assess the burden of neurocysticercosis (NCC) in California we examined statewide hospital discharge data for 2009. There were 304 cases hospitalized with NCC identified (incidence = 0.8 per 100,000). Cases were mostly Latino (84.9%), slightly more likely to be male than female (men 57.6%, women 42.4%) with an average age of 43.5 years. A majority of cases were hospitalized in Southern California (72.1%) and many were hospitalized in Los Angeles County (44.7%). Men were more likely than women to have severe disease including hydrocephalus (29.7% vs. 18.6%, p = 0.027), resulting in longer hospitalizations (>4 days, 48.0% vs. 32.6%, p = 0.007) that were more costly (charge>$40 thousand men = 46.9% vs. woman = 4.1%, p = 0.026). Six deaths were recorded (2.0%). The total of NCC-related hospital charges exceeded $17 million; estimated hospital costs exceeded $5 million. Neurocysticercosis causes appreciable disease and exacts a considerable economic burden in California.
为了评估加利福尼亚州神经囊虫病(NCC)的负担,我们检查了 2009 年全州的医院出院数据。共发现 304 例 NCC 住院病例(发病率为每 10 万人中有 0.8 例)。病例主要为拉丁裔(84.9%),男性略多于女性(男性 57.6%,女性 42.4%),平均年龄为 43.5 岁。大多数病例发生在加利福尼亚州南部(72.1%),许多发生在洛杉矶县(44.7%)。男性比女性更有可能患有严重疾病,包括脑积水(29.7%比 18.6%,p=0.027),导致住院时间更长(>4 天,48.0%比 32.6%,p=0.007),费用更高(费用>$40 千男性=46.9%比女性=4.1%,p=0.026)。共记录了 6 例死亡(2.0%)。与 NCC 相关的医院总费用超过 1700 万美元;估计的医院费用超过 500 万美元。神经囊虫病在加利福尼亚州造成了相当大的疾病负担,并带来了相当大的经济负担。