西弗吉尼亚州感染性内心炎的成本上升
Ruchi Bhandari1, Noor Abdulhay1, R Constance Wiener2
1School of Public Health, West Virginia University, Morgantown, USA.
Epidemiology and infection
|December 25, 2024
概括
传染性内心炎的高医院费用是由复杂的护理驱动的. 诸如手术,长期住院和多次咨询等因素显著增加了这种严重感染的成本.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 卫生经济学 卫生经济学
背景情况:
- 危及生命的传染病对美国医疗保健系统造成了巨大的和日益增长的财务负担.
- 传染性内心炎是一种严重的疾病,需要复杂而昂贵的治疗.
研究的目的:
- 确定与传染性内心炎相关的高医院费用的关键预测因素.
- 分析在一家主要的心脏护理中心治疗内心炎的财务影响.
主要方法:
- 对2014-2018年内心炎入院的成年患者电子病历的回顾性审查.
- 多重线性回归分析以评估总医院费用.
主要成果:
- 2014年至2018年间,内心炎的医院费用增加了12倍,平均费用为198,678.8美元.
- 手术 (47%的患者) 占总费用的70%;长达50天或更长的住宿贡献了三分之一.
- 较高的费用与9次以上的咨询 (30.87%的增加),住院死亡 (60.32%的增加) 和手术干预 (81.85%的增加) 相关.
结论:
- 复杂的护理,包括多次咨询,外科干预和长时间住院,显著预测感染性内心炎的医院费用更高.
- 了解这些成本驱动因素对于管理内心炎治疗的财务影响至关重要.
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