TY  - JOUR
PY  - 2012//
TI  - Projected Lifetime Risks and Hospital Care Expenditure for Traumatic Injury
JO  - Journal of surgical research
A1  - Chang, David C.
A1  - Anderson, Jamie E.
A1  - Kobayashi, Leslie
A1  - Coimbra, Raul
A1  - Bickler, Stephen W.
SP  - 567
EP  - 570
VL  - 176
IS  - 2
N2  - BACKGROUND: The lifetime risk and expected cost of trauma care would be valuable for health policy planners, but this information is currently unavailable. The cumulative incidence rates methodology, based on a cross-sectional population analysis, offers an alternative approach to prohibitively costly prospective cohort studies. MATERIAL AND METHODS: Retrospective analysis of the California Office of Statewide Health Planning and Development (OSHPD) database was performed for 2008. Trauma admissions were identified by ICD-9 primary diagnosis codes 800-959, with certain exclusions. Cumulative incidence rates were calculated as the cumulative summation of incidence risks sequentially across age groups. RESULTS: A total of 2.2 million admissions were identified, with mean age of 63.8 y, 49.6% men, 82.8% Whites, 5.7% Blacks, 11.3% Hispanics, and 3.1% Asians. The cumulative incidence rate for patients older than age 85 y was 1119 per 10,000 people, with the majority of risk in the elderly, compared with 24,325 per 10,000 people for all-cause hospitalizations. The rates were 946 for men, 1079 for women, 999 for non-Hispanic Whites, 568 for Blacks, 577 for Hispanics, and 395 for Asians, per 10,000 population. The cumulative expected hospital charge was $6538, compared with $81,257 for all-cause hospitalizations. CONCLUSION: The cumulative lifetime risk of trauma/injury requiring hospitalization for a person living to age 85 y in California is 11.2%, accounting for 4.6% of expected lifetime hospitalizations, but accounting for 8.0% of expected lifetime hospital expenditures. Risk of trauma is significant in the elderly. The total expenditure for all trauma hospitalizations in California was $7.62 billion in 2008.<p />  <p>Language: en</p>
LA  - en
SN  - 0022-4804
UR  - http://dx.doi.org/10.1016/j.jss.2011.10.022
ID  - ref1
ER  -