在感染性内心炎患者中使用CytoSorb®的血液吸收:德国预算影响分析.
Cristina Rao1, Franziska Preissing1, Matthias Thielmann2
1CytoSorbents Europe, 12587 Berlin, Germany.
Journal of cardiovascular development and disease
|September 27, 2023
概括
感染性内心炎 (IE) 患者的手术内血吸可能会减少重症监护室 (ICU) 停留时间,在德国可节省大量成本. 这种方法显示出潜在的经济效益和资源利用率的提高.
科学领域:
- 心血管外科心血管外科
- 关键护理医学 关键护理医学
- 卫生经济学 卫生经济学
背景情况:
- 接受心脏手术的传染性内心炎 (IE) 患者面临术后败血症和超级炎症的高风险.
- 重症监护室 (ICU) 停留对这些高风险患者的医疗保健费用产生重大影响.
研究的目的:
- 评估在德国医疗保健系统内的IE患者手术内血吸血的预算影响.
- 评估与血液吸收疗法相关的减少ICU停留时间的经济效益.
主要方法:
- 基于Excel的预算影响模型的开发,模拟ICU患者课程.
- 从一项对IE患者进行的回顾性研究中推断了ICU占用数据,这些患者接受了血液吸收治疗.
- 分析治疗报销和无治疗报销的情景,使用德国DRG数据进行患者人口估计.
主要成果:
- 在手术内吸血证明了每位患者 (基准病例) 的潜在节约为2298欧元,每位患者的潜在节约为3804欧元 (全额补偿).
- 敏感性分析证实了这些节约的稳定性,经济效益的概率很高 (87%和99%).
结论:
- 在IE患者的手术内血液吸收通过减少ICU利用提供了相当大的经济优势.
- 这种疗法可能会改善重症监护机构的资源配置.
- 建议在前性研究中进行进一步的调查,以验证这些经济发现.
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