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澳大利亚的败血症编码住院和相关成本:回顾性分析
Ashwani Kumar1,2, Naomi Hammond3,4,5, Brett Abbenbroek3,5
1Critical Care Program, The George Institute for Global Health, Sydney, NSW, Australia. z5077488@zmail.unsw.edu.au.
BMC health services research
|November 29, 2023
概括
澳大利亚因败血症住院的病例在2002年至2021年间显著增加,相关成本从2012年至2019年急剧上升. 这一趋势凸显了败血症对医疗保健资源的负担越来越大.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 败血症是一种危及生命的疾病,需要及时进行医疗干预.
- 了解败血症住院和成本的趋势对于医疗保健规划至关重要.
- 关于澳大利亚败血症住院趋势和经济影响的先前数据有限.
研究的目的:
- 从2002年到2021年,分析澳大利亚因败血症而编码住院的趋势.
- 确定这些败血症住院的相关财务成本.
- 为了确定人口结构模式,特别是在老年人群中,在败血症住院治疗中.
主要方法:
- 澳大利亚国家住院数据 (2002-2021) 的回顾性分析.
- 使用修改的全球疾病负担研究ICD-10代码识别败血症编码住院病例.
- 通过澳大利亚精细诊断相关组代码和国家医院成本数据收集进行成本计算.
主要成果:
- 败血症住院病例从36,628 (2002-03) 增加到131,826 (2020-21),每年增长7.8%.
- 人口发病率从每万人口中的18.6增加到每万人口中的51.3.
- 相关成本从1.99亿澳元 (2012) 升至7.11亿澳元 (2019),年增长率为20.6%.
结论:
- 澳大利亚观察到,败血症编码住院病例及其财务负担显著增加.
- 老年人群 (≥65岁) 占败血症住院病例的比例越来越高.
- 这些发现强调了败血症对澳大利亚医疗保健系统日益严重的影响.
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