Details:

Alternative Title:
Inj Prev
Publisher's site:
http://dx.doi.org/10.1136/injuryprev-2021-044416
Personal Author:
Miller, Gabrielle F. ; Florence, Curtis ; Barnett, Sarah Beth ; Peterson, Cora ; Lawrence, Bruce A. ; ... More +
Miller, Gabrielle F. ; Florence, Curtis ; Barnett, Sarah Beth ; Peterson, Cora ; Lawrence, Bruce A. ; Miller, Ted Less -
Description:
Background:

Quality-adjusted life years (QALY) provide a means to compare injuries using a common measurement, which allows quality of life and duration of life from an injury to be considered. A more comprehensive picture of the economic losses associated with injuries can be found when QALY estimates are combined with medical and work loss costs. This study provides estimates of QALY loss.

Methods:

QALY loss estimates were assigned to records in the 2018 National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP). QALY estimates by body region and nature of injury were assigned using a combination of previous research methods. Injuries were rated on six dimensions, which identify a set of discrete qualitative impairments. Additionally, a seventh dimension, work-related disability, was included. QALY loss estimates were produced by intent and mechanism, for all ED-treated cases, by two disposition groups.

Results:

Lifetime QALY losses ranged from 0.0002 to 0.388 for treated-and-released injuries, and from 0.031 to 3.905 for hospitalized injuries. The one-year monetary value of QALY losses ranged from $136 to $437,000 among both treated and released and hospitalized. The lifetime monetary value of QALY losses for hospitalized injuries ranged from $16,000 to $2.1 million.

Conclusions:

These estimates provide information to improve knowledge about the comprehensive economic burden of injuries; direct cost elements that can be measured through financial transactions do not capture the full cost of an injury. Comprehensive assessment of the long-term cost of injuries, including quality of life losses, is critical to accurately estimate the economic burden of injuries.


Subject:
[+]
Article Cost-Benefit Analysis Emergency Service, Hospital Humans Injury Intention Medical Cost QALY Quality-Adjusted Life Years Quality Of Life Work Loss Cost
Source:
Inj Prev. 28(5):405-409
Pubmed ID:
35296543
Pubmed Central ID:
PMC9554892
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHSUnited States/
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:f76d88b34bbdb6ffc0772efa03920e4acc5d5daeb41a582a1b7a4e8c2498000d
File Type:

• Supporting Files:
  No Additional Files

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