Department of Occupational Therapy, Monash University - Peninsula Campus, Australia; Department of Occupational Therapy, Alfred Health, Australia.
Department of Occupational Therapy, Monash University - Peninsula Campus, Australia.
J Sci Med Sport. 2020 Aug;23(8):683-689. doi: 10.1016/j.jsams.2020.01.007. Epub 2020 Jan 24.
Injuries to the hand and wrist from sport and exercise are common and costly. This cost-of-illness analysis was performed to estimate the economic implications of hand and wrist injuries that were sustained as a result of participation during sport or exercise.
Cost estimates were calculated from resource use in the emergency, inpatient and outpatient settings from the perspective of one public healthcare service.
Alfred Health, a large public health service with two emergency departments located in Victoria, Australia.
This descriptive epidemiological study used ICD-10 diagnostic codes and electronic billing records to identify 778 potential cases for inclusion. Electronic medical records were screened and reviewed to extract demographic and patient care journey data.
692 individuals, (n=761 individual zone of injuries), were included. Australian Rules Football (ARF) was the largest contributor to injuries (20.2%) followed by riding bicycles (15.9%. The total cost of all injuries was $790,325, with a median cost per case of $278 [IQR $210-$282] in the Emergency Department n=692, $3328 [IQR $2242-$6441] in the inpatient setting n=76 and $630 [IQR $460-$870] in the outpatient setting n=244.
Hand and wrist injuries sustained from sport and exercise contribute to a significant financial burden on the healthcare system. Future research that considers the costs that occur outside of the public healthcare service is required estimate the burden associated with these injuries comprehensively. Injury prevention programs may mitigate the observed injury trends.
运动和锻炼导致的手部和腕部损伤很常见且代价高昂。本疾病成本分析旨在评估因运动或锻炼而导致的手部和腕部损伤对经济的影响。
成本估计是从一家公共医疗服务机构的急诊、住院和门诊环境中的资源使用情况计算得出的。
阿尔弗雷德健康中心是一家大型公共医疗服务机构，在澳大利亚维多利亚州设有两个急诊部门。
这项描述性流行病学研究使用 ICD-10 诊断代码和电子计费记录确定了 778 个潜在病例。筛选并审查电子病历以提取人口统计学和患者护理旅程数据。
共纳入 692 名患者（n=761 个个体损伤区域）。澳大利亚足球规则（ARF）是导致损伤的最大原因（20.2%），其次是骑自行车（15.9%）。所有损伤的总成本为 790,325 美元，急诊部每个病例的中位数费用为 278 美元（IQR 210-282），n=692；住院部为 3328 美元（IQR 2242-6441），n=76；门诊部为 630 美元（IQR 460-870），n=244。
运动和锻炼导致的手部和腕部损伤给医疗保健系统带来了巨大的经济负担。需要开展未来研究，考虑公共医疗服务之外发生的成本，以全面估计这些损伤的负担。伤害预防计划可能会减轻观察到的伤害趋势。
