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与心脏起器植入或脉冲发生器更换后的第一年内治疗成本相关的因素
Lucas Bassoli de Oliveira Alves1, Katia Regina Silva1, Jacson Venancio Barros2
1Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP - Brasil.
Arquivos brasileiros de cardiologia
|May 2, 2024
概括
心脏起手术后的再入院和并发症显著增加了统一卫生系统 (SUS) 的年度治疗费用. 年龄和并发症等因素也会影响整体医疗保健费用.
科学领域:
- 心脏病学 心脏病学
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 越来越多的老年人口推动了人工心脏起器使用的稳步增长.
- 了解起器手术的经济影响对于医疗保健系统管理至关重要.
研究的目的:
- 评估心脏起器植入或脉冲发生器更换后的再入院和并发症率.
- 评估这些事件对统一卫生系统 (SUS) 内的年度治疗费用的财务影响.
主要方法:
- 一个前性注册表收集了初次住院期间和手术后第一年的临床实践数据.
- 根据SUS补偿价值估计了成本,并分析了患者水平.
- 通用线性模型确定了影响年度治疗总成本的因素 (显著程度:5%).
主要成果:
- 分析了1,223名患者 (634名初始植入物,589名置换物).
- 并发症发生在5.1%的患者 (70次).
- 一年后,初始植入器的再入院率为16.4%,替代器的再入院率为10.6%.
- 慢性病,中风病史,长时间住院,重症监护需求,并发症和再入院都对年度费用产生了重大影响.
结论:
- 年龄,并发症,术后并发症和再入院是促进心脏起器患者每年治疗费用增加的关键因素.
- 这些发现强调了管理患者因素的重要性,以优化医疗保健资源分配用于心脏起器护理.
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