道路交通事故伤后医疗康复服务的费用：沙特阿拉伯一家一级创伤中心的结果
Cost of healthcare rehabilitation services following road traffic injuries: Results from a Level-I trauma center in Saudi Arabia.
作者信息
Alghnam Suliman, Alqahtani Meshal M, Alzahrani Hosam A, Alqahtani Abdulfattah S, Albabtain Ibrahim T, Alsheikh Khalid A, Alatwi Mohamed K, Alkelya Mohamed A
机构信息
Department of Health, Population Health Section, King Abdullah International Medical Research Center, (KAIMRC), King Saud Bin Abdulaziz University for Health Sciences (KSAU HS), Taif, Saudi Arabia.
Department of Physical Therapy, College of Applied Medical Sciences, Taif University, Taif, Saudi Arabia.
出版信息
J Family Community Med. 2022 Jan-Apr;29(1):1-7. doi: 10.4103/jfcm.jfcm_323_21. Epub 2022 Jan 19.
BACKGROUND
Road traffic injuries (RTIs) are the second leading cause of mortality in Saudi Arabia. The high rate of RTIs puts a strain on rehabilitation services. Yet, little is known of the economic burden of nonfatal RTIs and rehabilitation services. This study, therefore, aims to describe the annual rehabilitation costs associated with RTIs at a local trauma center.
MATERIALS AND METHODS
This study was conducted among all the 17 years or older patients hospitalized at King Abdulaziz Medical City in Riyadh following RTIs and required rehabilitation care. We included 299 patients who met the inclusion criteria and were followed for one year after discharge from the index hospital. The data was abstracted through retrospective review of patients' medical records. All rehabilitative services utilized by the healthcare system were recorded. To describe the economic burden, the mean, median, standard deviation, and interquartile range (IQR) were calculated. Total costs were aggregated for all patients to estimate overall costs.
RESULTS
The study population was relatively young (31 years ± 14.4). The total annual rehabilitation cost of patients was Saudi Riyals (SAR) 6,113,781 (IQR: 20,589.3 - 3,125 = 17,464.3), and the average for each patient was SAR 20,447 (median = 7875). Patients aged 40-59 years and ≥60 years accounted for the highest average rehabilitation cost of SAR 31,563.99 and 32,639.21, respectively. Rehabilitation visits incurred the highest cost (mean SAR 1,494,124), followed by bed utilization which cost SAR 1,311,972 and radiology examination at SAR 1,032,261. The cost of motorcycle injuries was relatively higher (SAR 44,441.0) than other injury mechanisms.
CONCLUSION
This study underlines the economic burden of rehabilitation services resulting from RTIs. Public health interventions are needed to reduce the burden of RTIs by dealing with their preventable causes and improving road safety measures. These findings may be useful to policymakers and researchers to support and improve rehabilitation services in Saudi Arabia.
背景
道路交通伤害（RTIs）是沙特阿拉伯第二大死亡原因。道路交通伤害的高发生率给康复服务带来了压力。然而，对于非致命性道路交通伤害和康复服务的经济负担却知之甚少。因此，本研究旨在描述当地一家创伤中心与道路交通伤害相关的年度康复费用。
材料与方法
本研究针对利雅得阿卜杜勒阿齐兹国王医疗城收治的所有17岁及以上因道路交通伤害住院且需要康复护理的患者展开。我们纳入了299名符合纳入标准的患者，并在其从索引医院出院后随访一年。数据通过回顾性查阅患者病历提取。记录了医疗系统提供的所有康复服务。为描述经济负担，计算了均值、中位数、标准差和四分位间距（IQR）。汇总所有患者的总成本以估算总体费用。
结果
研究人群相对年轻（31岁±14.4）。患者的年度康复总费用为6,113,781沙特里亚尔（IQR：20,589.3 - 3,125 = 17,464.3），每位患者的平均费用为20,447沙特里亚尔（中位数 = 7875）。40 - 59岁和≥60岁的患者平均康复费用最高，分别为31,563.99沙特里亚尔和32,639.21沙特里亚尔。康复就诊费用最高（平均1,494,124沙特里亚尔），其次是床位使用费用1,311,972沙特里亚尔和放射学检查费用1,032,261沙特里亚尔。摩托车伤害的费用相对较高（44,441.0沙特里亚尔），高于其他伤害机制。
结论
本研究强调了道路交通伤害导致的康复服务经济负担。需要采取公共卫生干预措施，通过处理可预防的原因并改善道路安全措施来减轻道路交通伤害的负担。这些发现可能对政策制定者和研究人员支持和改善沙特阿拉伯的康复服务有所帮助。
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