保险状况与因死亡软组织感染住院的结果之间的关联
Fidelis Uwumiro1, Victory Okpujie2, Adetayo Ajiboye3
1Jos University Teaching Hospital, Jos, Nigeria.
Surgical infections
|July 10, 2024
概括
医疗保险与死软组织感染 (NSTI) 患者的死亡率较高有关,而医疗保险与截肢和长时间住院的增加有关. 没有保险的患者没有显著的结果差异.
科学领域:
- 医学研究 医学研究
- 传染病 传染病 传染病
- 医疗服务研究 医疗服务研究
背景情况:
- 末性软组织感染 (NSTI) 是一种严重的感染,可能带来不良结果.
- 保险状况对NSTI患者结果的影响尚未得到充分证实.
- 了解这些差异对于改善患者护理和资源配置至关重要.
研究的目的:
- 调查保险状况与NSTIs成人住院结果之间的关联.
- 为了比较医疗保险,医疗补助,私人保险和没有保险的患者之间的结果.
- 为了确定特定的保险相关的死亡率,肢体损失和住院时间的差异.
主要方法:
- 从2016-2018年全国住院患者样本数据库中,分析了成年人因死角膜炎,气性风和Fournier风住院的情况.
- 保险状况分为保险人 (医疗保险,医疗补助,私人) 和未保险人 (自付).
- 使用权重样本,奇方测试,多变量回归和负二项回归进行统计分析,以评估结果关联.
主要成果:
- 医疗保险与较高的死亡率相关 (aOR: 1.81).
- 医疗补助保险与截肢的可能性增加相关 (aOR: 1.81) 和长时间住院 (aOR: 1.34).
- 私人保险与截肢的几率较低有关,而无保险身份与主要或次要结果没有显著的关联.
结论:
- 医疗保险和医疗补助保险与NSTI住院的特定不良结果有关,包括死亡率和截肢.
- 在这项研究中,缺乏保险或自付身份与更差的结果没有显著联系.
- 医疗保健政策可能需要解决在管理NSTI等严重感染方面的保险特定差异.
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