心臓インプラント可能な電子機器の感染に対する治療のタイミングが,医療利用と支出に与える影響
Sean D Pokorney1,2, Lindsay Zepel3, Melissa A Greiner3
1Division of Cardiology, Duke University Medical Center, DUMC, Durham 3845, NC 27710, USA.
まとめ
心血管埋め込み電子機器 (CIED) 感染症の早期抽出は,入院と医療費を大幅に削減します. 感染したCIEDを7日以内に迅速に除去することは,患者の最適な結果と経済的節約につながります.
科学分野:
- 心臓病科
- 健康 経済
- 感染症
背景:
- 心血管内埋め込み電子機器 (CIED) の感染は重大なリスクをもたらす.
- CIEDの早期抽出は生存率の改善と関連しているが,医療利用への影響は不明である.
研究 の 目的:
- 早期のCIED抽出が医療費と利用に与える影響を評価する.
- 感染診断後のCIED抽出のタイミングに基づいて医療利用を分析する.
主な方法:
- 医療保険料の100%のデータ分析 (2006年−2019年)
- 特定の主張と抗生物質療法によって定義されたCIED感染の患者の特定.
- 抽出時間による医療利用と支出の比較: <7日, 7-30日, >30日
主要な成果:
- CIED感染の診断から7日以内に抽出すると,全原因の入院率が低かった (aHR 0. 79).
- 抽出期間が7日未満の患者 (中位は36,824ドル) の医療費は,抽出期間が30日未満の患者 (中位は63,425ドル) と比べて最も低い.
結論:
- CIED抽出は,入院と医療費の削減と関連しています.
- 早期抽出 (<7日) は,CIED感染後の医療利用と経済的結果を最適化します.
さらに関連する動画
関連する概念動画
Endocarditis III: Medical Management
17
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
17
Endocarditis IV: Nursing Management
27
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
27
Endocarditis I: Introduction
26
Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
26
Cardiomyopathy V: Interprofessional Care
32
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
32
Healthcare Associated Infections II: Preventive Measures
2.8K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.8K
Myocarditis III: Medical Management
15
Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
15


