三管吐患者的医疗保健利用和支出:基于人口的队列研究
1Department of Medicine, Mackay Medical College, New Taipei City, Taiwan.
International journal of cardiology. Heart & vasculature
|September 12, 2024
概括
显著的三回 (TR) 和心力衰竭 (HF) 会增加住院和医疗费用. 了解TR的经济影响对于患者护理和资源分配至关重要.
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:
- 三管吐 (TR) 是最常见的三管 (TV) 疾病.
- 关于TR的患病率,临床意义和经济负担的数据有限,特别是在并发性心力衰竭 (HF) 时.
研究的目的:
- 调查台湾TR的流行,临床意义和经济影响.
- 分析与TR相关的医疗保健利用和支出,根据HF的严重程度和存在进行分层.
主要方法:
- 使用台湾国家医疗保险研究数据库 (2017-2019) 进行的回顾性队列研究.
- 包括21051名成年TR患者,根据显著的TR (sTR) 和心力衰竭 (HF) 存在被分类为组.
- 分析了年度医疗负担,包括住院,住院时间 (LOS) 和费用.
主要成果:
- 有显著TR (sTR) 和并发性心力衰竭 (sTR-HF) 的患者承担了最高的经济负担.
- sTR-HF患者经历了2.46次住院治疗,33.18天的LOS和NTD480,711年的年度费用.
- 即使没有HF,sTR患者与非显著TR (nsTR) 患者相比,医疗保健利用率和费用增加.
结论:
- 三管吐,特别是当显著或与心力衰竭相结合时,与医疗保健利用率和财务负担大幅增加有关.
- 这些发现凸显了管理TR及其并发症的临床和经济重要性.
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