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Cited by 136Injury Epidemiology and PreventionTrauma and Emergency Care StudiesGun Ownership and Violence Research

State-level lifetime medical and work-loss costs of fatal injuries—United States, 2014.

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Luo, Feijun, Florence, Curtis·2017·MMWR Morbidity and Mortality Weekly Report
DOI 10.15585/mmwr.mm6601a1PMC PMC5687268
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Abstract

Injury-associated deaths have substantial economic consequences in the United States.The total estimated lifetime medical and work-loss costs associated with fatal injuries in 2013 were $214 billion (1).In 2014, unintentional injury, suicide, and homicide (the fourth, tenth, and seventeenth leading causes of death, respectively) accounted for 194,635 deaths in the United States (2).In 2014, a total of 199,756 fatal injuries occurred in the United States, and the associated lifetime medical and work-loss costs were $227 billion (3).This report examines the state-level economic burdens of fatal injuries by extending a previous national-level study (1).Numbers and rates of fatal injuries, lifetime costs, and lifetime costs per capita were calculated for each of the 50 states and the District of Columbia (DC) and for four injury intent categories (all intents, unintentional, suicide, and homicide).During 2014, injury mortality rates and economic burdens varied widely among the states and DC.Among fatal injuries of all intents, the mortality rate and lifetime costs per capita ranged from 101.9 per 100,000 and $1,233, respectively (New Mexico) to 40.2 per 100,000 and $491 (New York).States can engage more effectively and efficiently in injury prevention if they are aware of the economic burden of injuries, identify areas for immediate improvement, and devote necessary resources to those areas.The numbers of injury-associated deaths in each of the 50 states and DC in 2014 were obtained from the National Vital Statistics System, and state-level lifetime costs were obtained from the Web-based Injury Statistics Query and Reporting System database (3).Injury death rates were calculated using the U.S. Census Bureau's bridged race population estimates for 2014.Lifetime costs, which include lifetime medical and work-loss costs, were computed by multiplying the number of injury deaths by average costs of treating injuries and earnings in 2010, adjusted to 2014 prices.Medical costs were derived from various sources that measure the costs of transport, health care in multiple settings, including emergency departments, hospitals, and nursing homes, and examination by a coroner or medical examiner (4).Work-loss costs were developed using earnings data from the U.S. Census Bureau's Current Population Survey and life expectancy data from CDC's National Center for Health Statistics.Numbers State-Level Lifetime Medical and Work-Loss Costs of Fatal Injuries -United States, 2014

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  • Previous reports have shown that Connecticut, Maine, and Massachusetts had low per capita lifetime medical and work-loss costs from all fatal injuries (including opioid overdose) in 2014.

    “However, previous reports have shown that these states had low per capita lifetime medical and work-loss costs from all fatal injuries (including opioid overdose) in 2014 (7).”

    From State-Level Economic Costs of Opioid Use Disorder and Fatal Opioid Overdose — United States, 2017 (2021) · cites this paper as [7]

    The “Injuries from All Intents” table reports 2014 per-capita costs of $608 for Connecticut, $722 for Maine, and $550 for Massachusetts. The accompanying text identifies Massachusetts, but not Connecticut or Maine, among the five lowest-cost states. The Discussion says drug overdoses were included within unintentional fatal injuries, though their costs were not reported separately. (LLM, conf=0.85)

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  1. [10]Office of the Surgeon General. National Action Alliance for Suicide Prevention. 2012 national strategy for suicide prevention: goals and objectives for action. Washington, DC: US Department of Health and Human Services, Office of the Surgeon General; 2012. https://www.surgeongeneral.gov/library/reports/national-strategy-suicide-prevention/full-report.pdf 23136686

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Authors
Luo, F., & Florence, C.
Affiliations
National Center for Injury Prevention and Control (US)
Corresponding author
Luo, Feijun
ORCID
Venue
MMWR Morbidity and Mortality Weekly Report
Publisher
Centers for Disease Control MMWR Office
Published
2017-01-13
Volume
66
Issue
1
Pages
1-11
ISSN
  • 0149-2195 (ISSN-L)
  • 1545-861X
DOI
10.15585/mmwr.mm6601a1
PMC
PMC5687268
OpenAlex
W2577632053
Cited by
136
References
8
Citations by year
2026: 1 · 2024: 1 · 2023: 2 · 2022: 7 · 2021: 14 · 2020: 69 · 2019: 25 · 2018: 15 · 2017: 2
FWCI
28.50
Type
journal article
Language
en
Open access
Locations
  • MMWR Morbidity and Mortality Weekly Report (publishedVersion)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
  • Health Sciences › Medicine › Emergency Medicine › Trauma and Emergency Care Studies
  • Social Sciences › Health › Gun Ownership and Violence Research
Keywords
economic burden of injury, lifetime medical costs, work loss costs, unintentional injuries, suicide, homicide, injury prevention, state-level variation, injury intent, life expectancy, earnings losses, health care costs
MeSH terms
Absenteeism, Accidents, Adolescent, Adult, Aged, Child, Child, Preschool, Female, Homicide, Humans, Infant, Infant, Newborn, Male, Middle Aged, Suicide, United States, Wounds and Injuries, Health Care Costs, Cost of Illness, Age Distribution, Sex Distribution, Intention, Young Adult

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