发作集群,治疗模式和患者的医疗资源利用:威斯康星州的索赔分析
George L Morris1, Pam Eads2, Milena Tryfon3
1Ascension Wisconsin, St. Mary's Hospital, 2301 N Lake Drive, Milwaukee, WI 53211 USA.
Epilepsy & behavior : E&B
|June 2, 2024
概括
患有的患者经历了集群,因此承担了更高的医疗保健费用和资源利用. 这凸显了对集群的有效治疗的需要,这是一个常见但研究不足的并发症.
科学领域:
- 神经学 神经学
- 的研究研究.
- 卫生经济学 卫生经济学
背景情况:
- 发作集群代表了管理的一个研究不足的方面.
- 不良结果经常与患者的集群有关.
- 这项研究建立了新的救援药物之前的病护理的历史基线.
研究的目的:
- 描述威斯康星州的患者群体,重点关注发作集群.
- 分析患者的治疗模式和医疗资源利用率 (HCRU).
- 建立未来与新的集群治疗方法进行比较的基线.
主要方法:
- 基于威斯康星州卫生信息组织 (WHIO) 所有付款人索赔数据库的回顾性索赔分析.
- 定义了四个队列:所有患者,单疗法ASM,多疗法ASM和集群患者.
- 分析了12个月的HCRU和治疗持续时间.
主要成果:
- 与单疗法和多疗法队列相比,为发作集群治疗的患者 (3.2%) 患的门诊次数 (89.7%) 和住院次数 (25.3%) 较高.
- 发作群组的平均12个月全因 (114,717美元) 和相关 (76,134美元) 费用也较高.
- 在扣押集群队列中观察到不经常的救援药物补充 (1.6-1.9次/年).
结论:
- 患有集群的患者面临着显著更高的医疗保健成本和资源利用.
- 这些发现强调了改善患者的治疗策略的必要性,这些患者经历了集群.
- 耐药性和集群的专家护理可以减轻相关的负担.
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