Charles E D, Fine P R, Stover S L, Wood T, Lott A F, Kronenfeld J
Paraplegia. 1978 Feb;15(4):302-10. doi: 10.1038/sc.1977.46.
An ongoing study of medical care and associated costs relative to spinal cord injury is being conducted at the University of Alabama in Birmingham, one of 11 federally funded Model Regional Spinal Cord Injury Centres. It was hypothesised such costs would be lower among patients admitted into an organised continuum of care (system) soon after injury than among patients whose entry into the organised system of care was delayed (non-system). A comprehensive economic data set has been acquired on 142 of 233 (61 per cent) patients admitted since implementation of the project. Analysis of these data reveals: (1) system patients require, on average, expenditures of almost $5,000 less than their non-system counterparts; (2) there is little difference in medical or associated costs and length of hospitalisation between tetraplegics and paraplegics; (3) spinal cord injuries secondary to motor vehicle accidents have higher associated costs and longer lengths of stay than do those injuries resulting from other causes including acts of violence.
阿拉巴马大学伯明翰分校正在进行一项关于脊髓损伤的医疗护理及相关费用的研究，该校是11个由联邦政府资助的区域性脊髓损伤示范中心之一。研究假设，受伤后不久进入有组织的连续护理（系统）的患者的费用，会低于那些延迟进入有组织护理系统（非系统）的患者。自该项目实施以来，已收集了233名入院患者中142名（61%）的综合经济数据集。对这些数据的分析显示：（1）系统患者平均支出比非系统患者少近5000美元；（2）四肢瘫痪患者和截瘫患者在医疗或相关费用以及住院时间方面几乎没有差异；（3）机动车事故导致的脊髓损伤比包括暴力行为在内的其他原因导致的损伤相关费用更高，住院时间更长。
