对骨折相关感染的基于人口的流行病学和健康经济分析
Andrew L Foster1,2,3, Jacelle Warren1,4, Kirsten Vallmuur1,3,4
1Jamieson Trauma Institute, Royal Brisbane and Women's Hospital, Metro North Health, Brisbane, Australia.
The bone & joint journal
|December 31, 2023
概括
骨折相关感染 (FRI) 影响2.5%的创伤患者,显著增加住院时间和费用. 解决社会决定因素和改善创伤护理可以减轻这种负担.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 卫生经济学 卫生经济学
背景情况:
- 骨折相关感染 (FRI) 在骨科创伤护理中构成了重大挑战.
- 关于FRI流行病学和经济影响的基于人口的数据有限.
研究的目的:
- 描述澳大利亚骨折相关感染 (FRI) 的基于人口的流行病学和健康经济负担.
- 确定与FRI发展相关的风险因素.
主要方法:
- 在澳大利亚昆士兰州,对111,402名经过手术管理的骨科创伤患者 (2007-2016) 进行了回顾性队列研究.
- 记录链接用于创建基于人口的数据集,包含行政,临床和经济信息.
- 由ICD-10代码定义的FRI用于在手术后两年内植入装置的深度感染.
主要成果:
- 2.5% (2,775/111,402) 的患者发生了FRI.
- 与年龄较大,男性性别,农村居住,土著背景,社会经济地位较低,特定伤害类型和并发症相关的FRI.
- FRI患者的医院住院时间中位数长8倍 (24日 vs 3天),平均费用高2.8倍 (56,565澳元 vs 19,773澳元).
- 据估计,FRI队列的总住院费用为10年1569万澳元.
结论:
- 法国医疗机构对医疗保健系统造成了相当大的流行病学和经济负担.
- 建议改善创伤护理,感染管理和解决社会决定因素.
- 进一步研究FRI的预防和治疗策略是有必要的.
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