高流氧疗法的成本分析与哥伦比亚严重COVID-19的常规氧疗法相比:来自随机临床试验的数据
Sergio I Prada1,2, Maria P Garcia-Garcia1, Gustavo A Ospina-Tascón3,4
1Fundación Valle del Lili, Centro de Investigaciones Clínicas, Cali, Colombia.
对于严重的COVID-19来说,高流氧疗法 (HFOT) 可能节省成本. 与传统氧气疗法 (COT) 相比,这种方法降低了药物和重症监护单位的成本.
科学领域:
- 关键护理医学 关键护理医学
- 卫生经济学 卫生经济学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 高流氧疗法 (HFOT) 显示,在严重的COVID-19患者中,侵入性机械通风的需求减少,恢复速度更快.
- 与传统氧气疗法 (COT) 相比,HFOT的成本效益仍然没有确定.
研究的目的:
- 为了评估HFOT与COT在严重的COVID-19患者的现实环境中的总成本.
主要方法:
- 从管理护理的角度进行了试验后的成本分析.
- 分析了实际的费用,包括病房,ICU,手术,成像,实验室,药品和用品.
- 188名参与者被纳入分析.
主要成果:
- 平均成本为HFOT的7992美元 (SD7394美元) 和COT的10,190美元 (SD9402美元) (P=0.093).
- 在HFOT中,资源利用率总体下降了27%.
- 药物 (41%) 和重症监护室 (ICU) 住院 (31%) 节省了大量资金.
结论:
- 对于ICU中的严重COVID-19患者来说,HFOT可能会节省成本.
- 减少药物使用和缩短ICU停留时间有助于HFOT的成本效益.
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