The cost of a single concussion in American high school football: a retrospective cohort study.

Q3 Medicine Concussion Pub Date : 2020-10-28 DOI:10.2217/cnc-2020-0012

Aaron M Yengo-Kahn, Patrick D Kelly, David C Liles, Lydia J McKeithan, Candace J Grisham, Muhammad Saad Khan, Timothy Lee, Andrew W Kuhn, Christopher M Bonfield, Scott L Zuckerman

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Abstract

Aim: The potential financial burden of American football-related concussions (FRC) is unknown. Our objective was to describe the healthcare costs associated with an FRC and determine factors associated with increased costs.

Methodology/results: A retrospective cohort study of concussed high school football players presenting between November 2017 and March 2020 was undertaken; 144 male high school football players were included. Total costs were about $115,000, for an average direct healthcare cost of $800.10/concussion. Visiting the emergency department (β = 502.29, 95% CI: 105.79-898.61; p = 0.01), the initial post-concussion symptom scale score (β = 0.39, 95% CI: 0.11-0.66; p = 0.01) and a post-concussion syndrome diagnosis (β = 670.37, 95% CI: 98.96-1241.79; p = 0.02) were each independently associated with total costs.

Conclusion: A granular understanding of cost-driving factors associated with FRC is the first step in understanding the cost-effectiveness of prevention and treatment methods.

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美国高中橄榄球队一次脑震荡的代价：回顾性队列研究。

目的：美国足球相关脑震荡（FRC）的潜在经济负担尚不清楚。我们的目标是描述与 FRC 相关的医疗成本，并确定与成本增加相关的因素：我们对 2017 年 11 月至 2020 年 3 月期间出现脑震荡的高中橄榄球运动员进行了一项回顾性队列研究，其中包括 144 名男性高中橄榄球运动员。总成本约为 115,000 美元，平均直接医疗成本为 800.10 美元/脑震荡。到急诊科就诊（β = 502.29，95% CI：105.79-898.61；p = 0.01）、脑震荡后症状量表初始评分（β = 0.39，95% CI：0.11-0.66；p = 0.01）和脑震荡后综合征诊断（β = 670.37，95% CI：98.96-1241.79；p = 0.02）均与总费用独立相关：结论：详细了解脑震荡后综合征的相关成本驱动因素是了解预防和治疗方法成本效益的第一步。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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