枪支伤害:揭示了无与伦比的医疗保健负担和成本
Colleen P Nofi1,2,3, Emma Cornell4, Bailey K Roberts1,2,3
1From the Department of Surgery, Northwell - North Shore/Long Island Jewish Medical Center, Manhasset, NY.
概括
与其他创伤类型相比,枪支伤害需要更多的医院资源,包括干预和更高的成本. 这强调了有针对性的预防和资源分配对枪支创伤护理的需要.
科学领域:
- 创伤护理和公共卫生
- 医疗保健服务研究 医疗服务研究
- 伤害流行病学 伤害流行病学
背景情况:
- 枪支伤害是死亡的重要原因,特别是在儿童中,但他们的住院医疗负担尚未得到充分了解.
- 创伤仍然是美国发病率和死亡率的主要原因.
研究的目的:
- 为了比较医院资源利用与枪支相关的伤害与其他穿透和伤的创伤.
- 分析与不同类型的创伤相关的成本,停留时间和死亡率.
主要方法:
- 使用国家住院患者样本 (2017-2021) 进行回顾性队列研究.
- 包括患有枪支,穿透和重创伤的患者.
- 评估手术干预,医院费用,住院时间和死亡率.
主要成果:
- 枪支伤害需要更复杂的手术干预,并且比穿透 (5.7天) 或重创伤 (6.0天) 更长的住院时间 (7.8天).
- 住院患者的死亡率在枪支伤害 (6.5%) 和穿透 (0.6%) 和重创伤 (2.8%) 相比显著更高.
- 枪支伤害 (30,529美元) 和穿透 (12,243美元) 和重创伤 (18,333美元) 的总医院费用要大得多.
结论:
- 枪支伤害,尽管总体发生率较低,但导致不成比例地高的住院资源利用率和成本.
- 调查结果强调了针对枪支创伤的专注预防策略和优化资源配置的关键需求.
- 解决枪支伤害的独特挑战对于改善创伤护理结果和管理医疗保健支出至关重要.
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