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科学领域:

  • 神经外科 神经外科
  • 卫生经济学 卫生经济学
  • 医疗保健管理的管理

背景情况:

  • 实施复杂的大脑瘤手术的多学科团队,需要醒着的骨切除,需要付出相当大的成本.
  • 对于标准化的多学科团队在清醒状态下进行骨切割的成本效益的分析有限.

研究的目的:

  • 评估引入一个标准化程序的成本效益,用于清醒的骨切割.

主要方法:

  • 进行了回顾性经济评估,比较在标准化之前 (2016-2018年) 和标准化后 (2018-2021年) 的清醒骨切割.
  • 从医疗机构的角度分析了直接的医疗成本和1年死亡率.
  • 患者的结果包括停留时间,ICU入院,切除程度,再入院率和死亡率进行了比较.

主要成果:

  • 标准化减少了平均停留时间 (3.34至2.46天) 和ICU停留时间 (1.32至0.99晚).
  • 30天的再接收率从14%降至5%.30天的再接收率从14%降至5%.
  • 标准化方案导致平均成本节省7088.80美元,并降低了1年死亡率,证明是主导干预措施.

结论:

  • 清醒时切开术协议的标准化导致停留时间,ICU时间和直接医疗费用减少.
  • 这些改善在不影响患者的治疗结果,切除程度或并发症率的情况下实现.
  • 优化方案证明了成本节约和减少再接收,突出显示了其临床和经济效益.