酵素降解与手术降解相比:西班牙燃烧单位的成本分析
I Ustarroz-Aguirre1, B García-Lorenzo2, M T Acaiturri-Ayesta1
1Osakidetza Basque Health Service, Ezkerraldea-Enkarterri-Cruces Integrated Health Organisation, Cruces University Hospital, Economic-Financial Management, Barakaldo, Bizkaia, Spain.
Annals of burns and fire disasters
|April 29, 2024
概括
对烧伤的酶性脱bridement比手术脱bridement更具成本效益. 这是由于住院时间较短,手术手术较少,这使得它成为治疗烧伤的经济可行的替代方案.
科学领域:
- 烧伤护理 烧伤护理
- 手术手术手术手术手术手术手术手术手术
- 卫生经济学 卫生经济学
背景情况:
- 标准的烧伤治疗包括手术除和覆盖.
- 酶脱bridement已经成为一种潜在的替代治疗方法.
- 不同的脱bridement方法的成本效益需要评估.
研究的目的:
- 比较每位患者的酵素与手术脱bridement燃烧的成本.
- 确定影响烧伤护理成本的关键因素.
- 评估除bridement技术的经济影响.
主要方法:
- 79名烧伤患者的回顾性观察研究.
- 利用一个个性化的每位患者成本信息系统.
- 用酶去治疗的患者与手术去治疗的患者进行了比较.
主要成果:
- 酶解导致每名患者的平均成本降低 (26,101欧元与33,919欧元).
- 酵素脱bridement的临界住院时间较短 (13.7 vs 18.9 天).
- 减少了需要进行手术的时间 (0.45比1.28) 和手术室的时间 (53比202分钟) 通过酶去bridement.
结论:
- 与外科手术脱bridement相比,酶脱bridement提供了一个更具成本效益的方法来处理烧伤.
- 患者的年龄,烧伤病因,演变长度和总体表面积 (TBSA) 的百分比显著影响护理成本.
- 具体的脱bridement程序类型没有显著影响患者的总体成本.
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