社会捐款作为肺移植后再入院的风险因素:临床和财务影响
Catherine Lu Dugan1, Margaret V Kudlinski1, Sivagini Ganesh1,2
1Keck School of Medicine of USC, Los Angeles, CA.
JHLT open
|June 18, 2025
概括
肺移植后的社会再接收显著增加了再接收率,住院时间和成本. 在移植后的护理中解决社会因素可以改善结果并降低医疗保健费用.
科学领域:
- 移植医学 移植医学
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 接受肺移植的人面临着高的一年再入院率 (60%-80%).
- 社会因素是移植后再入院的重要,可修改的风险因素.
- 了解社会再接收的临床和财务影响至关重要.
研究的目的:
- 为了比较与社会因素相关的肺移植再入院的临床和财务影响,与非社会因素相比.
- 确定社会再接收对患者和医疗保健系统的负担.
主要方法:
- 在2013年2月至2023年4月期间出院的肺移植患者的回顾性单中心研究.
- 一年重收被分为社会 (例如,住房不稳定) 或非社会 (例如,胰腺炎) 的类别.
- 社会人口统计数据,临床数据和社会再入院和没有再入院的患者之间的成本的比较.
主要成果:
- 社会再入院发生在11%的患者中,通常是第一次或第二次再入院.
- 社会再入院患者的再入院人数更多 (中位数为4人对2人),住院时间更长 (8人对5天),费用更高 (23,813美元对14,245美元).
- 社会再接收与医院财务利显著下降有关 (p<0.001).
结论:
- 社会再接收对患者和医疗保健系统来说是一个巨大的负担.
- 社会再接收与增加资源利用和成本之间存在着强烈的关联.
- 投资对正在接受社会再接收的患者进行门诊支持,可能会改善结果并降低医疗保健支出.
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