医疗保健利用,成本和死亡率的负担与某些手术部位感染相关
Joint Commission journal on quality and patient safety
|October 9, 2024
概括
手术部位感染 (SSI) 显著增加医疗保健费用,住院和再入院. 减少SSI对于改善患者的治疗结果和医疗保健负担能力至关重要.
科学领域:
- 医疗保健经济学 医疗保健经济学
- 预防传染病 预防传染病
- 外科手术的结果
背景情况:
- 手术部位感染 (SSIs) 对医疗保健系统构成重大负担.
- 了解特定SSI的经济和临床影响对于有针对性的干预措施至关重要.
研究的目的:
- 量化与三个不同的手术部位感染相关的额外医疗保健利用,成本和死亡率.
- 为了比较冠状动脉旁路移植后的中炎/SSI,腹手术后的SSI和骨科手术后的SSI的结果.
主要方法:
- 使用商业和医疗保险优势/补充剂索赔 (2016-2021) 的回顾性观察队列研究.
- 倾向性得分匹配 (1:1) 用于将SSI患者与没有SSI患者进行比较,在出院后长达一年.
- 分析包括住院时间,再接收率,死亡率和总医疗费用.
主要成果:
- 患有SSI的患者住院时间显著长 (1.73-6.27调整日) 和30天再入院率更高 (2.83-25.07调整OR).
- 所有SSI群体的总医疗费用增加,一年的差异从每人40,606美元到68,101美元不等.
- 骨科SSI与12个月更高的死亡率 (1.56HR) 相关,而其他SSI没有显示出显著的死亡率差异.
结论:
- 手术部位感染导致停留时间的延长,再入院,并为患者和医疗保健系统带来了大量的财务成本.
- 在骨科SSI中观察到较高的死亡率,这凸显了感染位置的不同影响.
- 制定有效的预防SSI策略对于增强患者康复和确保医疗保健负担能力至关重要.
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