儿童尾切除术住院情况的国家趋势,2001-2017年
Ludmilla Candido Santos1, Jingya Gao1, Ronaldo C Fabiano Filho1
1Massachusetts General Hospital, Department of Emergency Medicine, Boston, United States.
Turkish journal of anaesthesiology and reanimation
|May 16, 2025
概括
2001年至2017年间,儿童尾切除术住院病例显著下降,但手术的中位数成本增加了61%. 这些趋势凸显了需要基于证据的指导方针,以优化尾炎护理和资源分配.
科学领域:
- 儿科手术 儿科手术
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 治疗急性尾炎的尾切除术是儿童最常见的急性手术手术.
- 最近尾炎管理协议的变化可能会影响住院模式和费用.
研究的目的:
- 分析2001年至2017年儿科尾切除术住院病人的时间趋势.
- 评估与尾切除术发生率相关的住院费用和住院时间的变化.
- 检查尾切除术结果的患者,医院和地理差异.
主要方法:
- 采用国家住院患者样本 (2001-2017) 的数据进行的横截面研究.
- 对尾切除术时间变化的分析 住院发生率,成本和住院时间.
- 包括患者和医院的特征,以及地理数据,以确定结果差异.
主要成果:
- 尾切除术住院发生率从每1万人年 (2001-2017年) 的11.2个下降到6.4个.
- 在研究期间,手术成本的中位数增加了61%.
- 尾切除术住院的时间趋势因患者,医院和地理因素而异.
结论:
- 观察到小儿尾切除术的大量减少,与此相比,手术费用显著上升.
- 了解这些趋势的驱动因素对于制定基于证据的指南至关重要.
- 在儿科尾炎管理中,优化临床决策和资源利用至关重要.
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