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败血症在荷兰的社会成本
Erik C N Luijks1, Elisabeth C van der Slikke2, Arthur R H van Zanten3,4
1Department of Internal Medicine, University Medical Center Groningen, University of Groningen, P.O. Box 30.001, 9700 RB, Groningen, The Netherlands.
Critical care (London, England)
|January 23, 2024
概括
败血症对荷兰产生重大影响,由于生产力下降和医疗保健使用增加,导致严重的疾病负担和经济成本. 预防策略对于减轻这些广泛的社会影响至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 败血症是一种由感染引起的危及生命的器官功能障碍,导致长期健康问题,并降低了幸存者的生活质量.
- 败血症的全部社会影响,包括疾病负担和间接经济成本,仍然不完全理解.
- 本研究量化了与荷兰的败血症相关的疾病相关和间接经济成本.
研究的目的:
- 以质量调整的生命年 (QALYs) 来评估每年的败血症疾病负担.
- 估计败血症的间接经济成本,包括生产力损失和医疗保健支出增加.
- 提供关于荷兰败血症对社会影响的全面概述.
主要方法:
- 利用文献和荷兰统计局关于败血症流行,发病率,死亡率,住院,预期寿命和医疗保健使用的数据.
- 由于败血症相关的死亡率和生活质量 (QoL) 降低而损失的计算年度QALY.
- 使用摩擦成本和人力资本方法估计的间接经济成本,用于生产力损失和医疗保健支出.
主要成果:
- 据估计,每年的疾病负担约为57,304个QALY,其中死亡率和QOL减少占了很大一部分.
- 间接经济成本在每年416.1万欧元至31亿欧元之间,具体取决于估计方法.
- 综合疾病和间接经济成本,荷兰的累积年度负担在38亿欧元至65亿欧元之间.
结论:
- 败血症给荷兰带来了重大疾病和间接的经济负担.
- 由于败血症而失去生产力的经济负担可能超过冠心病或中风等疾病.
- 强调需要预防败血症,以减少下游医疗保健成本和整体经济影响.
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