儿科食道外体的资源利用和成本分析
Tanya Chen1, Jennifer M Siu1, Yasmine Madan1
1Department of Otolaryngology-Head and Neck Surgery, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
概括
儿科食道外体 (EFB) 造成了大量的医疗保健费用,主要是由于转移,延迟咨询和按电池等高风险物品. 改善预防和当地管理可以减少这种经济负担.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 卫生经济学 卫生经济学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 受影响的食道外体 (EFB) 是一个常见的儿科紧急情况,需要食道镜检查.
- 这些情况在很大程度上是可以预防的,这凸显了有针对性的干预措施的需要.
研究的目的:
- 量化儿科EFB的整体经济影响.
- 确定有助于提高医疗保健资源利用率的关键因素.
主要方法:
- 在2010年至2021年期间,对接受食管镜检查以移除EFB的儿科患者进行了成本分析.
- 使用医院和省级费用数据计算了直接和间接的医疗保健成本.
- 分析了患者的特征,EFB类型,转移状态和医院疗程.
主要成果:
- 从2010年到2021年,儿科EFB的总成本为2,673,288美元,平均每名儿童为3469美元.
- 耳鼻喉科-头部外科 (OHNS) 咨询 (816美元/小时) 和转移到三级中心 (1965美元) 的延迟显著增加了成本.
- 高风险的EFB,特别是按电池 (硬币成本的8.8倍),导致逗留时间更长,并发症率更高,整体成本增加了4095.5美元.
结论:
- 儿科EFB代表了相当大的经济负担,由设施间转移,操作延迟和外体的性质驱动.
- 加强家长对初级预防的教育,及时参与OHNS团队,改善社区医院的能力对于降低成本至关重要.
相关概念视频
Esophageal Perforation-II: Clinical Manifestations and Management
36
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
36
Esophageal Strictures-I: Introduction
57
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
57
Esophageal Strictures-II: Clinical Features and Management
34
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
34
Esophageal Perforation-I: Introduction
58
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
58
Gastroesophageal Reflux Disease II: Clinical Features and Management
47
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
47
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
162
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
162


