麻醉症在日本的负担:一项健康声明数据库研究评估了直接的医疗费用和并发症
Yuta Kamada1, Aya Imanishi2, Shih-Wei Chiu3
1Division of Biostatistics, Tohoku University Graduate School of Medicine, Miyagi, Japan; Eisai Co., Ltd., Tokyo, Japan.
Sleep medicine
|January 5, 2024
概括
麻醉症会导致大量的直接医疗费用,并与诸如睡眠呼吸暂停和多动症等常见的并发症有关. 虽然低于对照条件,但麻醉症的成本超过了国家平均水平,这突显了对财政支持计划的需求.
科学领域:
- 医学经济学 医学经济学
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 麻醉症对健康造成重大负担,需要了解其经济影响.
- 直接的医疗费用和并发病率是疾病负担的关键指标.
研究的目的:
- 量化与麻醉相关的直接医疗成本.
- 为了确定麻醉症患者常见的并发症.
- 将麻醉症的负担与精神分裂症,和性结肠炎进行比较.
主要方法:
- 从2017年4月到2022年3月对健康保险索赔数据库 (JMDC Inc.) 的分析.
- 包括诊断为麻醉症的患者 (G47.4) 和匹配的精神分裂症 (F20), (G40) 和性结肠炎 (K51) 的对照.
- 直接医疗成本 (住院,门诊,药物) 和并发症数据的评估.
主要成果:
- 鉴定了4,594名麻醉症患者和匹配的对照.
- 每名麻醉症患者的年度直接医疗费用为349,188日元.
- 与对照人群相比,麻醉症患者表现出更高的并发症患病率,包括睡眠呼吸暂停,ADHD和肥胖症.
结论:
- 麻醉症的直接医疗费用虽然低于对照疾病,但在15-44岁的年龄组中,全国平均水平的约三倍.
- 伴随性疾病对麻醉症的整体负担有显著的贡献.
- 这些发现支持对麻醉症患者加强医疗费用援助计划的需要.
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