嵌入式导管植入与腹膜透析启动住院费用之间的关联:一项回顾性队列研究
Maki Shinzawa1,2, Ayumi Matsumoto3, Harumi Kitamura3
1Department of Nephrology, Osaka University Graduate School of Medicine, D-11 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan. shinzawa@kid.med.osaka-u.ac.jp.
Clinical and experimental nephrology
|November 14, 2023
概括
嵌入式腹膜透析 (PD) 导管植入与传统的PD导管插入相比,降低了住院费用和住院时间. 这种益处在接受PD启动的年轻和中年患者中尤为明显.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 手术手术手术手术手术手术手术手术手术手术
- 卫生经济学 卫生经济学
背景情况:
- 腹腔透析 (PD) 的启动通常涉及导管插入.
- 嵌入式PD导管植入是一种传统插入的替代方案,但更难获得.
- 嵌入式PD导管植入的经济和持续时间影响尚不清楚.
研究的目的:
- 为了比较嵌入式和传统PD导管插入之间的住院费用和持续时间.
- 调查年龄对嵌入式PD导管植入结果的影响.
主要方法:
- 对132名接受PD启动的患者进行回顾性队列研究 (2005-2020年).
- 患者分为嵌入式 (n=64) 和常规 (n=68) 插入组.
- 多变量通用线性模型 (GLM) 用于分析成本和持续时间,根据年龄对效果进行修改.
主要成果:
- 嵌入式导管插入与显著降低住院费用 (β = -0.13) 和更短的住院时间 (β = -0.21) 相关.
- 年龄也是一个重要因素,老年患者的费用更高,住院时间更长.
- 与老年患者相比,嵌入式插入的成本和持续时间效益在年轻至中年患者中更为显著.
结论:
- 嵌入式PD导管植入与降低住院费用和缩短PD启动停留时间有关.
- 研究结果表明,嵌入式植入对于年轻人和中年人来说尤其有利.
- 这凸显了嵌入式PD导管技术更广泛采用的潜在经济和效率益.
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