加拿大阿尔伯塔省心脏植入式电子设备感染的经济负担:使用经过验证的行政数据进行基于人口的研究
Elissa Rennert-May1,2, Derek Chew3,4,5,6, Kristine Cannon7
1Department of Medicine, University of Calgary, Calgary, AB, Canada. elissa.rennertmay@ucalgary.ca.
Antimicrobial resistance and infection control
|December 5, 2023
概括
心脏植入式电子设备感染显著增加医疗保健成本,平均每次感染增加成本为90,620美元. 实施感染预防战略对于降低医疗保健系统的经济负担至关重要.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 卫生经济学 卫生经济学
背景情况:
- 心脏植入式电子设备 (CIED) 的使用越来越多.
- 在CIED植入后,严重的手术部位感染 (SSIs) 会导致显著的发病率,死亡率和医疗保健利用率.
- 了解与CIED相关的SSI的经济影响至关重要.
研究的目的:
- 确定加拿大阿尔伯塔省与CIED相关的SSI的经济负担.
- 评估与这些感染相关的医疗保健利用率.
主要方法:
- 阿尔伯塔省 (2011-2019) 基于人口的队列研究.
- 在程序后一年内使用ICD代码识别复杂的SSI.
- 倾向性得分匹配用于比较感染和非感染患者之间的医疗成本和医疗利用率.
主要成果:
- 在26,049个CIED程序中,1.23%的结果是SSI (320个案例).
- 感染患者的平均12个月成本为145,312美元,而非感染者为34,264美元.
- 受感染的患者增加了90,620美元的成本,主要是由于住院住院 (占成本的70%).
- 在感染组中观察到更多的住院,住院时间和门诊访问.
结论:
- CIED感染对医疗保健系统造成了巨大的经济负担.
- 随着SSI率的上升,需要实施有效的感染预防措施.
- 需要进一步进行经济评估,以确定具有成本效益的感染缓解策略.
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