新西兰创伤性脑损伤的成本：基于人群的研究证据。

Cost of traumatic brain injury in New Zealand: evidence from a population-based study.

机构信息

From the National Institute for Stroke and Applied Neurosciences (B.T.A., A.T., K.J., V.L.F.), and Health and Rehabilitation Research Institute (K.M.), Faculty of Health and Environmental Studies, AUT University, Auckland, New Zealand; School of Social Sciences, Humanities and Arts (P.B.), University of California, Merced; Public Health Intelligence (M.T.), Ministry of Health, Wellington; School of Population Health, Faculty of Medical and Health Sciences (S.A.), and Department of Psychology (S.B.-C.), The University of Auckland; Department of Psychology (N.S.), Faculty of Arts and Social Sciences, The University of Waikato, Hamilton; and Primary Health Care and General Practice (A.D.), University of Otago, Wellington, New Zealand.

出版信息

Neurology. 2014 Oct 28;83(18):1645-52. doi: 10.1212/WNL.0000000000000933. Epub 2014 Sep 26.

DOI:10.1212/WNL.0000000000000933

PMID:25261503

Abstract

OBJECTIVE

We aimed to estimate from a societal perspective the 1-year and lifetime direct and indirect costs of traumatic brain injury (TBI) for New Zealand (NZ) in 2010 projected to 2020.

METHODS

An incidence-based cost of illness model was developed using data from the Brain Injury Outcomes New Zealand in the Community Study. Details of TBI-related resource use during the first 12 months after injury were obtained for 725 cases using resource utilization information from participant surveys and medical records. Total costs are presented in US dollars year 2010 value.

RESULTS

In 2010, 11,301 first-ever TBI cases were estimated to have occurred in NZ; total first-year cost of all new TBI cases was estimated to be US $47.9 million with total prevalence costs of US $101.4 million. The average cost per new TBI case during the first 12 months and over a lifetime was US $5,922 (95% confidence interval [CI] $4,777-$7,858), varying from US $4,636 (95% CI $3,756-$5,561) for mild cases to US $36,648 (95% CI $16,348-$65,350) for moderate/severe cases. Because of the unexpectedly large number of mild TBI cases (95% of all TBI cases), the total cost of treating these cases is nearly 3 times that of moderate/severe. The total lifetime cost of all TBI survivors in 2010 was US $146.5 million and is expected to increase to US $177.1 million in 2020.

CONCLUSION

The results suggest that there is an urgent need to develop effective interventions to prevent both mild and moderate/severe TBI.

摘要

目的

我们旨在从社会角度估算新西兰（NZ）2010 年至 2020 年创伤性脑损伤（TBI）的 1 年和终生直接和间接成本。

方法

使用 Brain Injury Outcomes New Zealand in the Community 研究中的数据，基于发病率的疾病成本模型。使用参与者调查和医疗记录中的资源利用信息，为 725 例患者获得了受伤后 12 个月内与 TBI 相关的资源使用的详细信息。总费用以 2010 年美元计价。

结果

2010 年，估计在 NZ 发生了 11301 例首次 TBI；所有新 TBI 病例的第一年总成本估计为 4790 万美元，总患病率成本为 1.014 亿美元。在最初的 12 个月和一生中，每个新 TBI 病例的平均成本为 5922 美元（95%置信区间[CI]为 4777-7858 美元），从轻度病例的 4636 美元（95%CI 为 3756-5561 美元）到中度/重度病例的 36648 美元（95%CI 为 16348-65350 美元）不等。由于轻度 TBI 病例数量异常多（所有 TBI 病例的 95%），因此治疗这些病例的总成本几乎是中度/重度病例的三倍。2010 年所有 TBI 幸存者的终生总成本为 1.465 亿美元，预计到 2020 年将增至 1.771 亿美元。