睡眠内镜的成本与同一天对比分阶段手术对于儿科阻塞性睡眠呼吸暂停
Nicholas R Lenze1, Michael M Allevato1, William J Benjamin2
1Department of Otolaryngology-Head and Neck Surgery University of Michigan Medical School Ann Arbor Michigan USA.
OTO open
|May 26, 2025
概括
在小儿阻塞性睡眠呼吸暂停的药物诱导睡眠内镜后进行分阶段手术会导致更高的医院费用. 然而,这种方法并不会增加患者或支付人的财务负担.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 卫生经济学 卫生经济学
背景情况:
- 儿科阻塞性睡眠呼吸暂停 (OSA) 是一种常见的疾病,需要手术干预.
- 药物诱导睡眠内镜 (DISE) 是一种用于指导OSA手术规划的诊断工具.
- 儿科OSA的手术途径各不相同,包括DISE后的当天或分阶段手术.
研究的目的:
- 为了比较药物诱导睡眠内镜 (DISE) 后儿童阻塞性睡眠呼吸暂停 (OSA) 的分阶段和当天手术相关的总医疗费用.
- 分析两种手术途径之间的保险支付,自付费用和整体医院费用的差异.
主要方法:
- 在一个单一的美国三级护理中心 (2017-2023) 进行的回顾性队列研究.
- 患者被分为两组:DISE与同一天的OSA手术和DISE与分阶段的OSA手术.
- 统计分析包括非参数测试和日志正常模型来比较成本并确定医院费用的预测因素.
主要成果:
- 分析了57名患有OSA的儿科患者.
- 在DISE后进行分阶段的OSA手术,与当天手术相比,医院费用显著增加 (平均差异为8995美元,P <.001).
- 在手术途径之间,没有观察到保险支付或患者自付费用的显著差异.
结论:
- 虽然儿童OSA的DISE后分期手术导致医院费用增加,但它不会给患者或支付人带来更大的财务负担.
- 这些发现对优化儿童OSA管理中的资源配置具有重大意义.
- 该研究强调了在治疗常见儿科疾病的手术决策中考虑成本效益的重要性.
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