尾炎住院护理费用 尾炎延迟诊断的患者
Dinushi A Kulasekere1, Regina Royan2, Ying Shan3
1Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
JAMA network open
|April 15, 2024
概括
迟到的尾炎诊断会增加医院护理费用. 这项研究发现,成本增加了23%,这突显了尾炎延迟诊断的财务影响.
科学领域:
- 卫生经济学 卫生经济学
- 外科手术的结果
- 公共卫生 公共卫生
背景情况:
- 尾炎的延迟诊断与较差的患者结果有关.
- 延迟尾炎诊断的财务影响在很大程度上仍未得到量化.
研究的目的:
- 调查尾炎诊断延迟与医院护理费用增加之间的关联.
- 量化延迟尾炎诊断带来的经济负担.
主要方法:
- 一项队列研究分析了来自美国五个州 (2016-2017) 的76,183名18-64岁的尾切除术患者的数据.
- 延迟诊断是由以前的非尾炎腹部遭遇而定义的,在尾切除术后7天内没有进行干预.
- 尾炎医院护理费用计算为尾切除术前7天,尾切除术前30天和手术后30天的时间,并根据各种因素进行调整.
主要成果:
- 诊断迟到的患者 (2.7%) 的中位数未调整成本较高 (11,099美元与9,177美元对比).
- 延迟诊断与调整后的尾炎医院护理费用增加了23% (平均边际成本为2,712美元).
- 与非西班牙裔白人患者相比,非西班牙裔黑人患者面临更高的成本,即使在对延迟诊断进行控制之后.
结论:
- 尾炎的延迟诊断与增加的医院护理费用有显著的关联.
- 这些发现强调了延迟诊断的经济影响,并表明了护理成本的潜在差异.
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