新生儿肠衰竭的社会和财务成本
Vikram K Raghu1,2, Sirine Belaid1,2, Susan Gutierrez3
1Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
JAMA network open
|February 26, 2025
概括
新生儿短肠综合征与肠道衰竭导致长时间住院,特别是非西班牙裔黑人儿童. 需要进一步的研究来解决健康差异,并改善这些婴儿的护理过渡.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 医疗保健服务研究 医疗服务研究
- 新生儿护理 新生儿护理
背景情况:
- 新生儿短肠综合征与肠衰竭 (NSBS-IF) 是一种罕见的疾病,对初次住院的观察数据有限.
- 现有研究强调了NSBS-IF的长期管理中的健康差异,但初始住院因素仍未得到充分研究.
研究的目的:
- 为了识别被诊断患有NSBS-IF的婴儿.
- 调查种族,种族,社区机会和NSBS-IF.婴儿最初住院时间的长度之间的关联.
主要方法:
- 一项采用50家美国儿童医院 (2004-2020) 的儿科健康信息系统数据库进行的横截面研究.
- 纳入标准:术后吸收不良的诊断代码,新生儿重症监护室停留,持续的亲肠营养.
- 分析包括种族,种族,儿童机会指数和使用千平方和威尔科克森等级和总和测试的逗留时间.
主要成果:
- 总共有2267名患有NSBS-IF的婴儿被确定.
- 初始住院时间的中位数为150天,平均费用为528,628.6美元.
- 与非西班牙裔白人婴儿相比,非西班牙裔黑人婴儿的住院时间明显长 (16天长) (P < .001). 邻居机会与逗留时间没有显著关联.
结论:
- 患有NSBS-IF的婴儿经历了长时间的初始住院和高成本.
- 非西班牙裔黑人婴儿受到的影响不成比例,这表明健康差异很大.
- 需要进行干预,以确保NSBS-IF.婴儿的公平和有效的护理过渡.
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