在重症监护室获得的感染的患者级成本分析:一个前性队列研究
I L Bezerra1, A P Nassar1, T Mendonça Dos Santos2
1Big Data, Program to Support the Institutional Development of the Unified Health System (PROADI-SUS), Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
The Journal of hospital infection
|July 20, 2024
概括
在重症监护室 (ICU) 的医院相关感染 (HAI) 显著增加了患者的成本,超过三倍的费用. 这凸显了HAI的经济负担,即使对于特定的感染,如VAP,CLABSI和CAUTI.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 卫生经济学 卫生经济学
背景情况:
- 与医院相关的感染 (HAI) 会增加死亡率和住院时间 (LOS).
- 之前对高质量感染的成本分析受限于成本估计,小样本规模或关注高收入国家.
研究的目的:
- 为了确定重症监护室 (ICU) HAI的增量成本.
- 在一个协作平台研究中,分析大量重症患者队列中的成本.
主要方法:
- 在十个巴西ICU (IMPACTO MR平台) 进行前性队列研究.
- 包括18岁以上的患者,ICU LOS≥2天 (2019年10月至2021年12月).
- 使用倾向性匹配得分来比较HAI与非HAI患者以及特定感染类型 (VAP,CLABSI,CAUTI,MDR-HAI). 经通货膨胀和PPP调整后的成本.
主要成果:
- 包括7953名患者;7.2%的人患上HAI.
- 倾向性得分匹配显示,HAI患者的ICU费用高出3倍 (19642美元与6086美元).
- VAP,CLABSI和CAUTI与ICU成本的增加有关,但MDR-HAI没有显著的相关性.
结论:
- 在ICU中获得的HAI绝对与显著更高的ICU成本有关.
- 对各种特定感染类型来说,HAI的增加成本负担是一致的.
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