Dos Anjos Katia Campos, de Rezende Marcelo Rosa, Mattar Rames
a Hospital das Clínicas , Institute of Orthopedics and Traumatology , São Paulo , Brazil.
Traffic Inj Prev. 2017 Aug 18;18(6):585-592. doi: 10.1080/15389588.2017.1293823. Epub 2017 Feb 13.
This study aimed to investigate the social and hospital costs of patients treated at a public hospital who were motorcycle crash victims.
This prospective study was on 68 motorcycle riders (drivers or passengers), who were followed up from hospital admission to 6 months after the crash. A questionnaire covering quantitative and qualitative questions was administered.
Motorcycle crash victims were responsible for 12% of the institution's hospital admissions; 54.4% were young (18-28 years of age); 92.6% were the drivers; 91.2% were male; and 50% used their motorcycles as daily means of transportation. Six months afterward, 94.1% needed help from someone; 83.8% had changed their family dynamics; and 73.5% had not returned to their professional activities. Among the injuries, 94.7% had some type of fracture, of which 53.5% were exposed fractures; 35.3% presented temporary sequelae; and 32.4% presented permanent sequelae. They used the surgical center 2.53 times on average, with a mean hospital stay of 18 days. The per capita hospital cost of these victims' treatment was US$17,481.50.
The social and hospital costs were high, relative to the characteristics of a public institution. Temporary or permanent disability caused changes to family dynamics, as shown by the high numbers of patients who were still away from their professional activities more than 6 months afterward.
本研究旨在调查在一家公立医院接受治疗的摩托车事故受害者的社会成本和医院成本。
这项前瞻性研究针对68名摩托车骑手(司机或乘客),从入院开始对其进行随访,直至事故发生后6个月。采用了一份涵盖定量和定性问题的问卷。
摩托车事故受害者占该机构入院人数的12%;54.4%为年轻人(18至28岁);92.6%为司机;91.2%为男性;50%将摩托车作为日常交通工具。6个月后,94.1%的人需要他人帮助;83.8%的人家庭关系发生了变化;73.5%的人尚未恢复工作。在受伤情况中,94.7%有某种类型的骨折,其中53.5%为开放性骨折;35.3%有临时后遗症;32.4%有永久性后遗症。他们平均使用手术中心2.53次,平均住院时间为18天。这些受害者治疗的人均医院成本为17,481.50美元。
相对于一家公立医院的特点而言,社会成本和医院成本都很高。临时或永久性残疾导致了家庭关系的变化,6个多月后仍有大量患者未恢复工作就表明了这一点。