美国高中橄榄球运动中单次脑震荡的成本：一项回顾性队列研究。
The cost of a single concussion in American high school football: a retrospective cohort study.
作者信息
Yengo-Kahn Aaron M, Kelly Patrick D, Liles David C, McKeithan Lydia J, Grisham Candace J, Khan Muhammad Saad, Lee Timothy, Kuhn Andrew W, Bonfield Christopher M, Zuckerman Scott L
机构信息
Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Vanderbilt Sport Concussion Center, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
出版信息
Concussion. 2020 Oct 28;5(4):CNC81. doi: 10.2217/cnc-2020-0012.
AIM
The potential financial burden of American football-related concussions (FRC) is unknown. Our objective was to describe the healthcare costs associated with an FRC and determine factors associated with increased costs.
METHODOLOGY/RESULTS: A retrospective cohort study of concussed high school football players presenting between November 2017 and March 2020 was undertaken; 144 male high school football players were included. Total costs were about $115,000, for an average direct healthcare cost of $800.10/concussion. Visiting the emergency department (β = 502.29, 95% CI: 105.79-898.61; p = 0.01), the initial post-concussion symptom scale score (β = 0.39, 95% CI: 0.11-0.66; p = 0.01) and a post-concussion syndrome diagnosis (β = 670.37, 95% CI: 98.96-1241.79; p = 0.02) were each independently associated with total costs.
CONCLUSION
A granular understanding of cost-driving factors associated with FRC is the first step in understanding the cost-effectiveness of prevention and treatment methods.
目的
与美式橄榄球相关的脑震荡（FRC）的潜在经济负担尚不清楚。我们的目标是描述与FRC相关的医疗费用，并确定与费用增加相关的因素。
方法/结果：对2017年11月至2020年3月期间出现脑震荡的高中橄榄球运动员进行了一项回顾性队列研究；纳入了144名男性高中橄榄球运动员。总费用约为115,000美元，平均每次脑震荡的直接医疗费用为800.10美元。就诊于急诊科（β = 502.29，95%置信区间：105.79 - 898.61；p = 0.01）、脑震荡后初始症状量表评分（β = 0.39，95%置信区间：0.11 - 0.66；p = 0.01）和脑震荡后综合征诊断（β = 670.37，95%置信区间：98.96 - 1241.79；p = 0.02）均与总费用独立相关。
结论
对与FRC相关的成本驱动因素有细致的了解是理解预防和治疗方法成本效益的第一步。
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