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住院患者与门诊患者的膜骨移植:全国性成本分析

Idean Roohani^1,2, Dylan G Choi¹, Eloise W Stanton²

¹Division of Plastic and Maxillofacial Surgery, Children's Hospital Los Angeles, Los Angeles, CA, USA.

The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

|June 6, 2024

概括

门诊关节损伤 (ABG) 越来越常见,并且与住院手术相比,重新手术和感染率较低. 这种方法可节省大量的成本,使其成为适合患者的有利选择.

科学领域:

外科手术的结果
卫生经济学卫生经济学
健行外科手术健行外科手术

背景情况:

关节切除 (ABG) 程序越来越多地在门诊环境中进行.
了解住院和门诊ABG的比较结果和成本对于医疗保健政策和患者护理至关重要.

研究的目的:

为了比较在美国的住院和门诊关节切除 (ABG) 之间的术后结果和医疗费用.

主要方法:

一个回顾性,多机构/国家队列研究.
接受ABG的患者 (n=6649) 在国家外科质量改善计划儿科数据库中从2012-2021年确定.
匹配的队列 (n=3718) 用修改的马尔科夫模型分析了30天的再入院,重新手术,并发症和成本.

主要成果:

住院患者的队列经历了更高的重复手术率 (0.6%对0.2%) 和手术部位感染 (0.8%对0.2%).
门诊ABG的费用估计为每名患者10,824美元,而住院ABG的费用为20,955美元,每名患者节省了10,131美元.
灵敏度分析证实,门诊手术的成本节约一直持续,从8,000美元到24,000美元不等.

结论:

门诊关节切除 (ABG) 是一个不断增长的趋势,现在大多数手术都是在门诊环境中进行的.
对于合适的患者,门诊ABG可以降低医院获得感染的风险,并显著降低医疗保健成本.
这种方法为医疗保健经济提供了具有成本效益的替代方案.

关键词:

鼓膜骨移植鼓膜骨移植嘴唇裂口是一个问题.裂口口腔的 palatum 是一个口腔的裂口.费用费用费用费用费用在全国范围内,国家门诊患者的治疗方式

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