住院创伤护理费用在美国从2012年到2021年
Troy N Coaston1, Nam Yong Cho1, Amulya Vadlakonda1
1Center for Advanced Surgical and Interventional Technology, David Geffen School of Medicine at University of California, Los Angeles.
JAMA network open
|September 23, 2025
概括
美国住院创伤护理费用从2012年到2021年几乎翻了一番,主要原因是老年人跌倒和机动车辆碰撞等因素. 需要有针对性的干预措施来解决不断上升的医疗保健支出和创伤护理方面的差异.
科学领域:
- 卫生经济学 卫生经济学
- 创伤外科 手术 创伤外科
- 公共卫生政策 公共卫生政策
背景情况:
- 创伤护理是美国医疗保健成本的重要和不断增长的贡献者.
- 了解时间趋势和成本相关因素对于制定有效的缓解策略至关重要.
研究的目的:
- 从2012年到2021年分析住院创伤护理费用的趋势.
- 确定与这些成本相关的患者和医院因素.
主要方法:
- 使用国家住院患者样本 (2012-2021) 进行回顾性队列研究.
- 通过ICD-9/ICD-10代码识别创伤住院情况.
- 对时间成本趋势和风险调整关联的分析.
主要成果:
- 住院创伤患者的年度总费用从270亿美元 (2012) 增加到420亿美元 (2021).
- 在研究期间,每位患者的中位成本大幅上升.
- 机动车碰撞,跌倒 (尤其是老年患者),黑人种族和太平洋地区的护理与2021年更高的成本有关.
结论:
- 在2012年至2021年期间,住院创伤费用几乎翻了一番.
- 老年人跌倒是相当大的成本驱动因素.
- 地理和人口差异凸显了针对性干预和标准化护理的需要,以管理成本并确保公平.
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