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儿童急性住院治疗神经性厌食症:经济评估
Maria Rosaria Marchili1, Elena Bozzola2,3, Stefano Guolo4
1Pediatric Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Italian journal of pediatrics
|February 27, 2024
概括
儿科精神性厌食症 (AN) 患者的住院费用超过330万欧元. COVID-19 流行病并没有显著影响 AN 入院或住院时间.
科学领域:
- 儿科精神病学 儿科精神病学
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 神经性厌食症 (AN) 是一种严重的精神疾病,与严重的健康风险有关.
- 由于COVID-19的流行,可能导致AN的发病率增加.
- 了解AN住院的经济影响至关重要.
研究的目的:
- 确定儿科患者急性期神经性厌食症 (AN) 的住院费用.
- 确定长时间住院的危险因素,包括年龄,性别和并发症.
- 评估COVID-19大流行对AN入院和住院时间的影响.
主要方法:
- 对260名被诊断为AN的18岁以下儿科患者进行了回顾性分析.
- 包括IRCCS Bambino Gesù儿童医院 (意大利罗马) 的住院患者.
- 将患者分为COVID-19前 (2019年3月至2020年2月) 和COVID-19后 (2020年3月至2022年10月) 的子组.
主要成果:
- 美国人住院治疗的医疗费用总额达到3,352,333.3欧元.
- 每次入院的中位成本为11,124欧元,与并发病,监护患者和肠道养相关的成本更高.
- 在COVID-19前的小组中观察到长时间住院和更大的经济负担.
结论:
- 饮食障碍对医疗保健系统构成重大经济负担.
- 有效地管理NA需要强有力的卫生政策和健康经济分析.
- 需要进一步的研究来优化AN治疗的成本效益.
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