死亡前喘的经济负担:全国性的描述性研究
Laurent Guilleminault1,2,3, Michael Mounié4,5, Agnès Sommet6
1Pôle des voies respiratoires, service de pneumo-allergologie, Centre Hospitalo-Universitaire de Toulouse, Toulouse, France.
Frontiers in public health
|March 5, 2024
概括
喘死亡的经济负担很大,在死亡前几年显著增加. 随着患者年龄的增长和短期β-agonists (SABA) 的更多使用,成本会上升.
科学领域:
- 卫生经济学 卫生经济学
- 肺部病理学 肺部病理学
- 公共卫生 公共卫生
背景情况:
- 喘带来了重大的临床和经济负担.
- 喘对经济的影响,特别是在死亡前的时期,仍未得到充分研究.
研究的目的:
- 量化喘在死亡前12个月和24个月的经济负担.
- 确定影响法国这些成本的因素.
主要方法:
- 一项使用法国国家医疗保险数据库的观察队列研究.
- 包括直接的医疗,非医疗和工作缺勤费用.
- 分析了在2013年至2017年期间死于喘的3829名患者.
主要成果:
- 每位患者的医疗费用总额为24个月的27,542欧元,死亡前12个月的16,815欧元.
- 随着时间的推移,年龄 (尤其是75岁以上的患者) 和短期β-agonists (SABA) 的更高的处方,成本增加.
- 伴随性疾病,住院死亡和高SABA使用率 (≥12/年) 是成本更高的独立预测因素.
结论:
- 与喘死亡相关的经济负担是相当大的.
- 在生命的最后几年,成本上升,受年龄和药物使用模式的影响.
- 了解这些成本对于资源配置和患者护理策略至关重要.
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