Department of Public Health, Erasmus MC, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands.
Department Trauma TopCare, ETZ Hospital, 5022 GC Tilburg, The Netherlands.
Int J Environ Res Public Health. 2020 Mar 26;17(7):2217. doi: 10.3390/ijerph17072217.
This study aimed to provide a detailed overview of the health care and productivity costs of non-fatal road traffic injuries by road user type. In a cohort study in the Netherlands, adult injury patients admitted to a hospital as a result of a traffic accident completed questionnaires 1 week and 1, 3, 6, 12 and 24 months after injury, including the iMTA Medical Consumption and Productivity Cost Questionnaire. In-hospital, post-hospital medical costs and productivity costs were calculated up to two years after traffic injury. In total, 1024 patients were included in this study. The mean health care costs per patient were € 8200. The mean productivity costs were € 5900. Being female, older age, with higher injury severity and having multiple comorbidities were associated with higher health care costs. Higher injury severity and being male were associated with higher productivity costs. Pedestrians aged ≥ 65 years had the highest mean health care costs (€ 18,800) and motorcyclists the highest mean productivity costs (€ 9000). Bicycle injuries occurred most often in our sample (n = 554, 54.1%) and accounted for the highest total health care and productivity costs. Considering the high proportion of total costs incurred by bicycle injuries, this is an important area for the prevention of traffic injuries.
本研究旨在详细概述非致命道路交通事故伤害的医疗保健和生产力成本，按道路使用者类型划分。在荷兰的一项队列研究中，因交通事故而住院的成年伤者在受伤后 1 周、1 个月、3 个月、6 个月、12 个月和 24 个月时填写问卷，包括 iMTA 医疗消费和生产力成本问卷。在交通事故发生后两年内计算了住院期间和出院后的医疗费用和生产力成本。共有 1024 名患者纳入本研究。每位患者的平均医疗保健费用为 8200 欧元。平均生产力成本为 5900 欧元。女性、年龄较大、受伤严重程度较高和合并多种疾病与较高的医疗保健费用相关。受伤严重程度较高和男性与较高的生产力成本相关。≥65 岁的行人的平均医疗保健费用最高（18800 欧元），而摩托车手的平均生产力成本最高（9000 欧元）。自行车事故在我们的样本中最为常见（n=554，54.1%），占总医疗保健和生产力成本的比例最高。考虑到自行车事故造成的总成本比例较高，这是预防道路交通伤害的一个重要领域。
