胰腺液收集干预的临床和经济影响:来自国家索赔数据库的评估
Shyam Varadarajulu1, Michael J Cangelosi2, Geri R Cramer2
1From the Digestive Health Institute, Orlando Health, Orlando, FL.
Pancreas
|April 10, 2024
概括
与内镜方法相比,胰腺液收集 (PFCs) 的皮肤通道排水与较高的死亡率,再住院和成本有关. 当有专业知识可用于适合这种方法的PFC时,最好采用内镜治疗.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
- 卫生经济学 卫生经济学
背景情况:
- 胰腺液收集 (PFC) 是胰腺炎的一个常见并发症.
- 治疗方案包括皮肤通道和内镜排水.
- 这些方法的临床和经济结果需要进行比较.
研究的目的:
- 为了比较皮肤穿透与内镜治疗PFCs的临床和经济影响.
主要方法:
- 对医疗保险索赔数据 (2016-2020年) 的回顾性分析.
- 包括接受皮肤或内镜PFC排水的患者.
- 在180天内对死亡率,再住院和直接成本进行了纵向分析.
主要成果:
- 与内镜排水相比,穿皮排水与较高的死亡率 (23.08%与16.7%),再住院 (58.9%与53.3%) 和平均直接成本 (37,107美元与27,800美元) 相关.
- 多变量分析确定穿皮排水是死亡率和再住院的重要预测因素.
- 高龄和多种并发症也与死亡率的增加有关.
结论:
- 通过皮肤排泄PFC可能会导致比内镜排泄更糟糕的临床和经济结果.
- 对于可接受PFC的PFC,内镜治疗应被认为是首选的方法,前提是有专业知识.
- 需要进一步的随机试验来证实这些发现.
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