华东地区颅脑交通伤住院费用调查  

Hospitalization Costs of Traumatic Brain Injuries Caused by Traffic Accidents in Eastern China

作　　者：袁强[1] 姚海军[1] 刘华[1] 孙一睿[2] 吴惺[2] 胡锦[2] 

机构地区：[1]上海交通大学附属第六人民医院神经外科,上海200233 [2]上海复旦大学附属华山医院神经外科,上海200032

出　　处：《中国卫生经济》2012年第4期70-72,共3页Chinese Health Economics

基　　金：国家自然科学基金资助项目(30371454);上海市科委重点科技攻关项目(0841195200)

摘　　要：目的:对华东地区颅脑交通伤住院患者的住院费用及相关影响因素进行分析,掌握颅脑交通伤住院患者的疾病负担。方法:整群抽取2004年华东地区颅脑创伤住院患者数据库中颅脑交通伤患者7 369例,用SPSS 15.0统计软件包分析。结果:7 369例患者住院费用平均16 158.90元,中位住院费用8 402.50元。日住院费用平均1 121.47元,中位日住院费用692.28元。COX回归模型显示省份、性别、居住状态、手术、GCS评分、费用支付方式、病房类型、年龄、医院级别、交通伤发生时间及多发伤都可能是造成颅脑交通伤患者住院费用高低的重要影响因素。结论:颅脑交通伤住院患者疾病负担重,加强对25～44岁以及高龄男性人群交通伤害的健康教育以及0时—7时的交通伤救护,可有效减低颅脑交通伤患者的住院费用。Objective： To analyze the hospitalization costs and related factors of traumatic brain injuries（TBl）caused by traffic accidents in eastern China, and to analyze the direct economic burden of traffic accident associated TBI. Methods： The pool of 7 369 TBI patients in association with traffic accidents were derived from the database based on the investigation of hospitalized patients with traumatic brain injury in eastern China in 2004. Data were analyzed through using SPSS 13.0 software. Results： The highest total cost for hospitalized traffic associated TBI reached 380 000.00 RMB （average 16 158.90 RMB; median 8 402.50 RMB）. The average of daily cost of hospitalization was 1 121.47 RMB （median 692.28 RMB）. Cox regression model showed that province, sex, residence status, surgery, GCS, payment type, ward type, age, hospital level, time of traffic injuries and multiple injuries are likely the main faclors causing the high hospitalization cost of traumatic brain injuries caused t）y traffic accidents. Conclusion： The disease burden of TB1 caused by tl＇affic accidents are so heavy. The health education should be stren@hened for those people between 25 to 44 years old and fur the elderly male people. The first aid at 0-7 o＇clock should be enhanced, and the hospitalization costs of traffic injuries be minimized.

关 键 词：华东地区 颅脑损伤 交通伤 住院费用 

分 类 号：R651.1[医药卫生—外科学]