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住院患者资源的利用 对于低塑性左心综合征从出生到Fontan
Michael Kuntz1, Eleonore Valencia2, Steven Staffa3
1Division of Pediatric Cardiac Anesthesia, Department of Anesthesiology, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN, USA.
Pediatric cardiology
|December 30, 2023
概括
低可塑性左心综合征 (HLHS) 3 阶段缓解的总成本相当大,超过 140 万美元. 近年来,资源利用,包括住院日和间期手术,增加了.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 生产性心脏手术 手术 生产心脏手术
- 卫生经济学 卫生经济学
背景情况:
- 缺血性左心综合征 (HLHS) 需要复杂的,多阶段的手术息.
- 之前对HLHS缓和治疗资源利用的分析是有限的.
- 了解当前的成本和资源需求对于医疗保健规划至关重要.
研究的目的:
- 确定与完成HLHS三阶段息治疗相关的总财务费用.
- 评估资源的利用,包括住院和手术,在间期期间.
- 自从之前的研究以来,确定成本和资源使用的趋势.
主要方法:
- 使用儿科健康信息系统数据库 (2016-2021) 进行回顾性队列研究.
- 纳入标准:为HLHS完成三阶段息治疗的患者.
- 分析总费用,住院时间,间期入院和程序.
主要成果:
- 三阶段息治疗的中位数调整后总费用为1,475,800美元.
- 住院时间的中位数为36天 (第一阶段),9天 (第二阶段) 和10天 (第三阶段).
- 肺动脉狭窄是最常见的阶段间入院诊断;心脏导管和输卵管安置是常见的程序.
结论:
- 三阶段HLHS缓解治疗的住院费用总额相当大,似乎有所增加.
- 胃肠道并发症和养优化显著影响资源利用.
- 对HLHS的成本有效管理策略进行进一步的研究是有必要的.
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