2010-2015 年美国枪支伤害的再入院风险和费用。
Readmission risk and costs of firearm injuries in the United States, 2010-2015.
机构信息
Stanford University School of Medicine, Stanford, California, United States of America.
Stanford Division of General Surgery, Section of Trauma and Critical Care, Stanford, California, United States of America.
出版信息
PLoS One. 2019 Jan 24;14(1):e0209896. doi: 10.1371/journal.pone.0209896. eCollection 2019.
BACKGROUND
In 2015 there were 36,252 firearm-related deaths and 84,997 nonfatal injuries in the United States. The longitudinal burden of these injuries through readmissions is currently underestimated. We aimed to determine the 6-month readmission risk and hospital costs for patients injured by firearms.
METHODS
We used the Nationwide Readmission Database 2010-2015 to assess the frequency of readmissions at 6 months, and hospital costs associated with readmissions for patients with firearm-related injuries. We produced nationally representative estimates of readmission risks and costs.
RESULTS
Of patients discharged following a firearm injury, 15.6% were readmitted within 6 months. The average annual cost of inpatient hospitalizations for firearm injury was over $911 million, 9.5% of which was due to readmissions. Medicare and Medicaid covered 45.2% of total costs for the 5 years, and uninsured patients were responsible for 20.1%.
CONCLUSIONS
From 2010-2015, the average total cost of hospitalization for firearm injuries per patient was $32,700, almost 10% of which was due to readmissions within 6 months. Government insurance programs and the uninsured shouldered most of this.
背景
2015 年，美国有 36252 人死于与枪支有关的事件，84997 人因枪支受伤而未死亡。目前，这些伤害通过再次入院造成的长期负担被低估了。我们旨在确定因枪支受伤的患者在 6 个月内再次入院的风险和医院费用。
方法
我们使用全国再入院数据库 2010-2015 年评估了 6 个月内再次入院的频率，以及与枪支相关伤害再次入院相关的医院费用。我们提供了有关再次入院风险和费用的全国代表性估计。
结果
在因枪支受伤出院的患者中，15.6%在 6 个月内再次入院。枪支伤害住院治疗的年平均住院费用超过 9.11 亿美元，其中 9.5%是由于再次入院造成的。医疗保险和医疗补助计划覆盖了 5 年总费用的 45.2%，无保险患者承担了 20.1%。
结论
从 2010 年至 2015 年，每位枪支伤害住院患者的平均总住院费用为 32700 美元，其中近 10%是由于 6 个月内再次入院造成的。政府保险计划和无保险者承担了大部分费用。
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