估计呼吸机相关肺炎患者的额外成本
Ginger G Cabrera-Tejada1, Pablo Chico-Sánchez2, Paula Gras-Valentí2
1Preventive Medicine Service, Dr. Balmis General University Hospital, 03010 Alicante, Spain.
Antibiotics (Basel, Switzerland)
|January 26, 2024
概括
呼吸机相关肺炎 (VAP) 显著增加了重症监护室 (ICU) 的成本. VAP患者经历了更长时间的机械通风和住院,每例费用超过20,000欧元.
科学领域:
- 与医疗保健相关的感染
- 关键护理医学 关键护理医学
- 卫生经济学 卫生经济学
背景情况:
- 医疗相关感染 (HAI) 是一个主要的全球健康问题.
- 呼吸机相关肺炎 (VAP) 是ICU中第二常见的HAI.
- 经济分析对于了解VAP的影响至关重要.
研究的目的:
- 评估与ICU患者的VAP相关的额外成本.
- 为了比较VAP感染者与未感染者在机械通风中的停留时间.
- 为了量化VAP的经济负担.
主要方法:
- 在阿利坎特 (2012-2019) 总医院进行了回顾性队列研究.
- 倾向性比分匹配,将434名VAP患者与434名非VAP患者进行比较.
- 机械通风持续时间和停留时间的分析.
主要成果:
- VAP患者的机械呼吸时间显著长 (17.40 vs 8.93天,p < 0.001).
- VAP导致平均有13.56个额外的 ICU 停留日.
- 在研究期间,每次VAP事件的额外成本为20,965.28欧元,总计12,348,965.28欧元.
结论:
- VAP对医疗保健系统造成了相当大的经济负担.
- 有效的感染监测,预防和控制是必不可少的.
- 减少VAP发生率可以提高医疗保健质量和降低支出.
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