描述美国综合性裂护理:全国性住院患者样本研究
Nicholas Paliwoda1, Ethan D Paliwoda1, Avi A Gajjar2
1Division of Plastic Surgery, Department of Surgery, Albany Medical Center.
The Journal of craniofacial surgery
|April 2, 2025
概括
裂口唇 (CLP) 护理费用有很大差异,差异影响了美洲原住民患者和那些死亡风险较高的患者的结果. 解决这些系统性障碍对于公平待遇至关重要.
科学领域:
- 头骨面部异常 头骨面部异常
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 唇裂 (CLP) 是一种常见的先天性面异常,会影响食和发言等关键功能.
- 有效管理CLP需要一个多学科的方法,包括手术,牙科,语言治疗和心理支持.
- 了解影响医疗保健成本和患者结果的因素对于优化CLP护理至关重要.
研究的目的:
- 检查与医院费用相关的人口,临床和经济因素以及裂唇和 palatal 管理的结果.
- 为了确定非家庭出院和延长住院时间 (LOS) 的预测因素,在为CLP治疗的患者中.
- 突出在美国的CLP护理中的潜在社会人口和地理差异.
主要方法:
- 利用了ICD-10-CM/PCS代码和来自2016-2017年国家住院患者样本 (NIS) 的数据.
- 包括患者主要或次要治疗组合口唇裂.
- 使用描述性统计数据进行基线分析和多变量后勤回归,以确定影响非家庭出院和扩展LOS的因素.
主要成果:
- 该研究分析了4205名患者,平均护理费用为13,291美元,平均医院费用为49,229.22美元.
- 美国原住民患者和那些死亡风险较高的人增加了非家庭出院的几率.
- 不特定种族背景的患者,在城市非教学医院接受治疗的患者,或死亡风险较高的患者,延长LOS的几率更高.
结论:
- 在裂唇和 palatal 护理方面存在显著的社会人口和地理差异.
- 诸如种族,医院类型和死亡风险等因素影响出院处置和住院时间.
- 标准化护理协议和解决系统性障碍对于改善CLP患者的治疗结果和减少财务负担至关重要.
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