在美国医院设置中术后保留尿液的经济影响
Weijia Wang1, Arielle Marks-Anglin1, Vladimir Turzhitsky1
1Outcomes Research, Merck & Co., Inc., Rahway, New Jersey, USA.
Journal of health economics and outcomes research
|September 13, 2024
概括
手术后尿 (POUR),神经肌肉阻塞逆转后的并发症,显著增加了住院和门诊外科手术程序的医疗费用. 选择降低POUR发病率的逆转剂可以降低医疗保健成本.
科学领域:
- 麻醉学 麻醉学
- 医疗保健经济学 医疗保健经济学
- 外科手术的结果
背景情况:
- 手术后的尿 (POUR) 是手术后的常见并发症,涉及神经肌肉阻塞 (NMB).
- NMB的药理逆转可能会导致POUR的发生率.
- 贫困会导致患者的痛苦,并可能增加医疗保健利用率.
研究的目的:
- 评估术后尿 (POUR) 对医疗费用的经济影响.
- 为了比较POUR和没有POUR的手术患者的医疗费用.
- 分析医院出院后与随后的POUR事件相关的费用.
主要方法:
- 使用PINC-AITM医疗保健数据库 (2017年2月 - 2021年11月) 的回顾性观察研究.
- 包括在药理上逆转的神经肌肉阻塞剂 (NMBAs) 手术中的成年患者.
- 与POUR患者和没有POUR患者之间的总医院费用的比较,单独分析住院和门诊设置.
主要成果:
- 分析了大量的住院患者 (330,838) 和门诊患者 (437,063) 的队列.
- 贫困与住院和门诊机构的未调整医疗费用显著增加有关.
- 调整后的分析显示,POUR在门诊机构的平均费用增加了9,760美元至13,160美元,随后的事件产生了额外的成本.
结论:
- 在NMB逆转后经历POUR的手术患者的医疗费用大幅增加.
- 这些发现强调了POUR的经济负担.
- 结果支持选择与POUR发病率较低相关的NMB逆转剂,以减轻成本.
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