生命护理计划中的预期寿命估计：考虑经济因素。
Life Expectancy Estimates in the Life Care Plan: Accounting for Economic Factors.
作者信息
Krause James S, Saunders Lee L
机构信息
Medical University of South Carolina.
出版信息
J Life Care Plan. 2010 Jun;9(2):15.
OBJECTIVE
The purpose of this study was to summarize the existing scientific literature on the relationship between economic factors and life expectancy (LE) after spinal cord injury (SCI), present new data on the relationship between household income and LE, and present a revised theoretical risk model to account for the observed relationships.
RESEARCH DESIGN
Data were from a prospective cohort study of 1386 participants with SCI which began in 1997. Mortality status was determined 10 years later. Person year logistic regression was used to evaluate predictors of mortality and to generate LE estimates, as each year of follow-up was treated as a separate observation (rather than a single observation per person).
RESULTS
Results indicated significant relationships between age, injury severity, household income and LE, which suggest the need for more refined models of economic factors and LE.
CONCLUSIONS
LE estimates in life care plans need to account for economic factors in order to improve accuracy. It is important to allocate resources to meet all healthcare needs throughout the lifecycle to ensure that LE is not compromised.
目的
本研究旨在总结现有关于脊髓损伤（SCI）后经济因素与预期寿命（LE）之间关系的科学文献，呈现家庭收入与预期寿命关系的新数据，并提出一个修订的理论风险模型以解释观察到的关系。
研究设计
数据来自于1997年开始的一项对1386名脊髓损伤参与者的前瞻性队列研究。10年后确定死亡状况。由于将随访的每一年视为一个单独的观察对象（而非每人一个单一观察对象），因此使用人年逻辑回归来评估死亡率的预测因素并生成预期寿命估计值。
结果
结果表明年龄、损伤严重程度、家庭收入与预期寿命之间存在显著关系，这表明需要更精确的经济因素与预期寿命模型。
结论
生命护理计划中的预期寿命估计需要考虑经济因素以提高准确性。在整个生命周期内分配资源以满足所有医疗保健需求非常重要，以确保预期寿命不受影响。
Zotero 插件