资源利用和儿童食道外体中食道损伤的危险因素
Basil Hashimi1, Amber D Shaffer2, Jennifer L McCoy3
1University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, U.S.A.
无症状患者的儿科食道外体 (EFB) 不会造成损伤,这表明门诊治疗可以提高护理价值. 这种方法可以减少与EFB移除相关的医院费用.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对于儿科食道外体 (EFB) 存在管理协议,但可以针对资源利用量进行优化.
- 了解患有食道损伤的患者风险因素对于有效管理至关重要.
研究的目的:
- 分析患有EFB的儿科患者的医院费用和成本.
- 在儿科EFB病例中确定与食道损伤相关的患者特异性风险因素.
主要方法:
- 儿科患者进行空气消化外体切除 (2018-2021) 的回顾性图表审查.
- 数据包括人口统计,病史,症状,EFB类型,手术发现和医院费用/费用.
- 统计分析以确定食道损伤和成本驱动因素的风险因素.
主要成果:
- 包括203名儿科患者; 87.7%需要入院.
- 没有目击者的摄入,长时间的症状 (>1周),消化不良,呼吸困难,咳,口服摄入量减少,发烧和拥堵增加了食道损伤的几率.
- 无症状患者 (n=51) 没有出现食道损伤.
- 平均总费用为20,808美元,手术室 (28.2%) 和住院治疗 (26.0%) 是最高的成本贡献者.
结论:
- 患有EFB的无症状儿科患者没有经历食道损伤.
- 手术室时间和住院观察是医院费用中最大的组成部分.
- 开发一种算法来对无症状患者进行选,以便在同一天进行门诊治疗,这可以提高护理的价值.
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