Direct health care costs after traumatic spinal cord injury

被引:71
作者
Dryden, DM
Saunders, LD
Jacobs, P
Schopflocher, DP
Rowe, BH
May, LA
Yiannakoulias, N
Svenson, LW
Voaklander, DC
机构
[1] Univ Alberta, Evidence Based Practice Ctr, Dept Publ Hlth Sci, Edmonton, AB T6G 2J3, Canada
[2] Univ Alberta, Dept Emergency Med, Edmonton, AB, Canada
[3] Univ Alberta, Dept Phys Therapy, Edmonton, AB, Canada
[4] Univ Alberta, Dept Earth & Atmospher Sci, Edmonton, AB, Canada
[5] Alberta Hlth & Wellness, Hlth Surveillance Branch, Edmonton, AB, Canada
[6] Univ Calgary, Dept Community Hlth Serv, Calgary, AB, Canada
[7] Univ No British Columbia, BC Rural & Remote Hlth Res Inst, Prince George, BC, Canada
来源
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE | 2005年 / 59卷 / 02期
关键词
spinal cord injuries; health care costs; databases; factual; administrative data; Canada;
D O I
10.1097/01.ta.0000174732.90517.df
中图分类号
R4 [临床医学];
学科分类号
1002 [临床医学]; 100602 [中西医结合临床];
摘要
Background: The objective was to quantify direct health care costs attributable to traumatic spinal cord injury (SCI). Methods: This population-based cohort study followed individuals with SCI from date of injury to 6 years postinjury. SCI cases were matched to a comparison group randomly selected from the general population. Administrative data from a Canadian province with a universal publicly funded health care system and centralized health databases were used. Costs included hospitalizations, physician services, home care, and long-term care. Results: Attributable costs in the first year were $121,600 (2002 $CDN) per person with a complete SCI, and $42,100 per person with an incomplete injury. In the subsequent 5 years, annual costs were $5,400 and $2,800 for persons with complete and incomplete SCIs, respectively. Conclusion: Direct costs in the first year after SCI are substantial. In the subsequent 5 years, individuals with SCI will continue to accrue greater costs than the general public.
引用
收藏
页码:441 / 447
页数:7
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