National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Inj Prev. 2022 Oct;28(5):405-409. doi: 10.1136/injuryprev-2021-044416. Epub 2022 Mar 16.
Quality-adjusted life years (QALYs) provide a means to compare injuries using a common measurement which allows quality of life and duration of life from an injury to be considered. A more comprehensive picture of the economic losses associated with injuries can be found when QALY estimates are combined with medical and work loss costs. This study provides estimates of QALY loss.
QALY loss estimates were assigned to records in the 2018 National Electronic Injury Surveillance System - All Injury Program. QALY estimates by body region and nature of injury were assigned using a combination of previous research methods. Injuries were rated on six dimensions, which identify a set of discrete qualitative impairments. Additionally, a seventh dimension, work-related disability, was included. QALY loss estimates were produced by intent and mechanism, for all emergency department-treated cases, by two disposition groups.
Lifetime QALY losses ranged from 0.0004 to 0.388 for treated and released injuries, and from 0.031 to 3.905 for hospitalised injuries. The 1-year monetary value of QALY losses ranged from $136 to $437 000 among both treated and released and hospitalised injuries. The lifetime monetary value of QALY losses for hospitalised injuries ranged from $16 000 to $2.1 million.
These estimates provide information to improve knowledge about the comprehensive economic burden of injuries; direct cost elements that can be measured through financial transactions do not capture the full cost of an injury. Comprehensive assessment of the long-term cost of injuries, including quality of life losses, is critical to accurately estimate the economic burden of injuries.
质量调整生命年（QALY）提供了一种比较伤害的方法，使用共同的衡量标准，同时考虑生命质量和受伤持续时间。当 QALY 估计值与医疗和工作损失成本相结合时，可以更全面地了解与伤害相关的经济损失。本研究提供了 QALY 损失的估计值。
使用先前研究方法的组合，将 QALY 损失估计值分配给 2018 年国家电子伤害监测系统-所有伤害计划中的记录。根据身体部位和伤害性质分配 QALY 估计值。伤害在六个维度上进行评分，确定了一组离散的定性损伤。此外，还包括第七个维度，即与工作相关的残疾。通过意图和机制，对所有接受急诊治疗的病例，根据两种处置组，对所有接受急诊治疗的病例进行 QALY 损失估计。
治疗和出院的受伤患者的终生 QALY 损失范围为 0.0004 至 0.388，住院的受伤患者的损失范围为 0.031 至 3.905。治疗和出院以及住院患者的 1 年 QALY 损失的货币价值范围分别为 136 美元至 437000 美元。住院患者的 QALY 损失终生货币价值范围为 16000 美元至 210 万美元。
这些估计值提供了有关伤害全面经济负担的信息，可通过财务交易衡量的直接成本要素并不能完全捕捉到伤害的全部成本。对伤害的长期成本进行全面评估，包括生命质量损失，对于准确估计伤害的经济负担至关重要。
