州创伤死亡率降低对个人终身收入和州税收收入的经济影响。
Economic impact of reduced state trauma mortality on lifetime personal income and state tax revenue.
作者信息
Groce Harold Edward, Ashley Dennis Wayne, Robinson Joe Sam
机构信息
Georgia Neurosurgical Institute, Macon, Georgia, USA.
Mercer University, Macon, Georgia, USA.
出版信息
Trauma Surg Acute Care Open. 2025 Jul 15;10(3):e001698. doi: 10.1136/tsaco-2024-001698. eCollection 2025.
BACKGROUND
In 2003, Georgia's trauma mortality rate was 16% above the national average. By 2020, mortality had decreased to 6% below the national average, translating to 1,803 fewer lives lost than might have been expected if 2003 trends had continued. The purpose of this study is to assess the state-wide economic impact of reduced mortality and disability measured in the amount of lifetime personal income and state tax revenue preserved.
METHODS
Using the Centers for Disease Control and Prevention's Web-Based Injury Statistics Query and Reporting System database, state/national trauma mortality rates for 2020 were compared with 2003. Years of potential life lost (YPLL) for trauma victims up to 65 were calculated for the same time period. Rates of severe disability were calculated based on the average results of four studies (1992-2022) and used to estimate additional YPLL. The per-capita personal income for Georgia and the average percent of personal income paid in state taxes were calculated using federal and state data. These numbers were then multiplied by state YPLL rates to calculate lifetime personal income and state tax revenue lost due to trauma.
RESULTS
$4.3 billion in lifetime personal income preserved (averted death $1.3 billion and averted disability $2.9 billion). $508 million in lifetime tax revenue preserved (averted death $158 million and averted disability $349 million).
CONCLUSIONS
Reduced state trauma mortality and disability substantially benefitted lifetime potential personal income and lifetime potential state and local tax revenue. This study provides states with a template to evaluate the economic impact of reducing trauma mortality. While the causes of reduced mortality are manifold, anything that can be done to reduce trauma mortality is a worthwhile investment. Accordingly, state trauma system funding should be considered an , not a cost.
LEVEL OF EVIDENCE
Economic and value-based evaluations, Level III.
背景
2003年，佐治亚州的创伤死亡率比全国平均水平高16%。到2020年，死亡率降至比全国平均水平低6%，这意味着如果2003年的趋势持续下去，死亡人数会比预期少1803人。本研究的目的是评估以挽救的终身个人收入和州税收金额衡量的死亡率和残疾率降低对全州的经济影响。
方法
使用疾病控制与预防中心基于网络的伤害统计查询与报告系统数据库，将2020年的州/全国创伤死亡率与2003年进行比较。计算同一时期65岁及以下创伤受害者的潜在寿命损失年数（YPLL）。根据四项研究（1992 - 2022年）的平均结果计算严重残疾率，并用于估计额外的YPLL。使用联邦和州数据计算佐治亚州的人均个人收入以及缴纳州税的个人收入平均百分比。然后将这些数字乘以该州的YPLL率，以计算因创伤而损失的终身个人收入和州税收。
结果
挽救了43亿美元的终身个人收入（避免死亡13亿美元，避免残疾29亿美元）。挽救了5.08亿美元的终身税收（避免死亡1.58亿美元，避免残疾3.49亿美元）。
结论
该州创伤死亡率和残疾率的降低极大地有利于终身潜在个人收入以及终身潜在的州和地方税收。本研究为各州提供了一个评估降低创伤死亡率经济影响的模板。虽然死亡率降低的原因是多方面的，但任何能够降低创伤死亡率的措施都是一项值得的投资。因此，应将州创伤系统资金视为一项投资，而非成本。
证据水平
经济和基于价值的评估，三级。
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