机械通风是COVID-19住院费用的主要驱动因素:德国环境中的成本研究
Leslie R Zwerwer1,2, Jan Kloka3, Simon van der Pol4,5
1Department of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands. l.r.zwerwer@rug.nl.
Health economics review
|January 16, 2024
概括
分析了德国COVID-19住院费用,揭示了重症监护室 (ICU) 患者的重大支出,特别是那些需要机械通风 (MV) 患者. 每日成本的估计有助于未来的健康经济评估.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 传染病管理 传染病管理
背景情况:
- 关于西欧COVID-19住院费用的数据有限.
- 了解这些成本对于明智地分配医疗保健资源至关重要.
- 这项研究重点关注德国的医疗保健环境.
研究的目的:
- 分析德国的COVID-19住院费用.
- 为了跟踪随时间的变化成本的演变.
- 为了确定不同的护理水平的每日成本组件.
主要方法:
- 分析来自法兰克福大学医院的行政成本数据.
- 包括598名非重症监护室 (ICU) 和510名ICU患者.
- 利用通用线性模型和倾向得分方法来估计基于停留时间和机械通风的成本.
主要成果:
- 总成本的中位数为3010欧元 (非ICU),5887欧元 (ICU非MV),21536欧元 (ICU与MV).
- 随着时间的推移,非ICU成本略有增加;ICU成本下降.
- 每日费用:463.66欧元 (非ICU病房),414.20欧元 (ICU非MV病房),927.45欧元 (ICU病房有MV病房),2224.84欧元 (ICU有MV病房).
结论:
- 关于德国COVID-19住院费用的第一项研究.
- 成本与非COVID-19患者一致,除了更高的机械通风费用外.
- 结果提高了成本效益研究的准确性,并为政策决策提供了信息.
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