Hospitalization costs of road traffic injury in Shanghai,2017‒2020

YU Yan; XU Naiting; LIU Jinghong; ZHOU Deding; GAO Ning; PENG Juanjuan

doi:10.19428/j.cnki.sjpm.2024.23805

Shanghai yufang yixue (Jul 2024)

Hospitalization costs of road traffic injury in Shanghai,2017‒2020

YU Yan,
XU Naiting,
LIU Jinghong,
ZHOU Deding,
GAO Ning,
PENG Juanjuan

Affiliations

YU Yan: Department of Chronic Non-communicable Disease and Injury Prevention,Shanghai Municipal Center for Disease Control and Prevention,Shanghai 200336,China
XU Naiting: Department of Chronic Non-communicable Disease and Injury Prevention,Shanghai Municipal Center for Disease Control and Prevention,Shanghai 200336,China
LIU Jinghong: Department of Chronic Non-communicable Disease and Injury Prevention,Shanghai Municipal Center for Disease Control and Prevention,Shanghai 200336,China
ZHOU Deding: Department of Chronic Non-communicable Disease and Injury Prevention,Shanghai Municipal Center for Disease Control and Prevention,Shanghai 200336,China
GAO Ning: Department of Chronic Non-communicable Disease and Injury Prevention,Shanghai Municipal Center for Disease Control and Prevention,Shanghai 200336,China
PENG Juanjuan: Department of Chronic Non-communicable Disease and Injury Prevention,Shanghai Municipal Center for Disease Control and Prevention,Shanghai 200336,China

DOI: https://doi.org/10.19428/j.cnki.sjpm.2024.23805
Journal volume & issue: Vol. 36, no. 7
pp. 686 – 691

Abstract

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ObjectiveTo assess the direct economic burden and influencing factors of road traffic injuries in Shanghai, providing a basis for future prevention of road traffic injuries.MethodsInformation of inpatient cases caused by road traffic injuries was collected from 22 pilot hospitals in Shanghai that participated in the registration and reporting system of injury hospitalizations from 2017 to 2020. The main content of the collected information included basic demographic information, total hospitalization costs for injuries, mode of transportation, cause of injury, nature of injury, location of injury, and hospital level. Univariate analysis was used to analyze the average hospitalization costs and length of hospital stay between different years. Kruskal-Wallis test was used to analyze the median hospitalization costs and the median length of hospital stay between different years, and the median hospitalization costs of different groups. A full subset regression model in multivariate regression was used to explore the main influencing factors of hospitalization costs.ResultsA total of 4 655 patients were hospitalized with road traffic injuries, including 2 675 males (57.47%) and 1 980 females (42.53%). The average age was (53.84±15.37) years old, with a minimum age of 4 years old and a maximum age of 97 years old. 1 907 patients (40.97%) had non-motor vehicle accidents, and 2 748 patients (59.03%) had motor vehicle accidents. The average hospitalization cost is 23 245.71 yuan, with a median of 9 793.94 yuan. The average length of stay was 13.61 days, with a median stay of 10.00 days. The main factors affecting hospitalization costs included year, nature of injury, location of injury, length of hospital stay, and hospital level.ConclusionRoad traffic injuries seriously affect the health of middle-aged and young people, especially vulnerable road user such as pedestrians and cyclists, causing serious injury and an increase of direct economic burden year by year. Therefore, road traffic injury prevention projects should be actively carried out to reduce the occurrence of injuries.

Published in Shanghai yufang yixue

ISSN: 1004-9231 (Print)
Publisher: Shanghai Preventive Medicine Association
Country of publisher: China
LCC subjects: Medicine
Website: http://www.sjpm.org.cn/indexen.htm

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