在接受体外膜氧化治疗的患者中,卫生资源的利用和结果
Vicki Papanikolaou1,2, Ethan Goh1, Alayna Carrandi1
1Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
CJC open
|June 30, 2025
概括
了解体外膜氧化 (ECMO) 幸存者的长期医疗保健成本至关重要. 目前的数据有限,这突显了对ECMO生存负担的全面研究的迫切需要.
科学领域:
- 关键护理医学 关键护理医学
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 身体外膜氧化 (ECMO) 是严重的心脏和呼吸系统衰竭的拯救生命的干预措施.
- ECMO幸存者在出院后面临重大医疗保健需求,影响医疗保健系统和社会.
- 全球越来越多的ECMO使用需要了解长期的生存负担.
研究的目的:
- 系统地审查和综合现有关于出院后医疗保健资源利用和成年ECMO幸存者的成本的文献.
- 确定关于ECMO生存的经济和医疗需求的当前知识上的差距.
主要方法:
- 在主要数据库 (MEDLINE,Embase,Emcare,Scopus,Web of Science) 进行系统的文献搜索,截至2024年10月1日.
- 包括英语研究报告出院后医疗保健资源利用率和成年ECMO幸存者的成本.
- 选了1889篇文章,其中24篇研究符合纳入标准.
主要成果:
- 包括的研究主要是北美 (2010-2024) 的回顾性队列研究.
- 报告的30天再接收率在10.0%至43.8%之间,90天的再接收率在21.1%至53.0%之间.
- 关于长期成本的数据有限,只有5项研究报告了长达1年的成本.
结论:
- 尽管人们越来越关注,但在了解长期医疗保健利用率和与ECMO存活相关的成本方面仍然存在重大差距.
- 迫切需要更全面,更细致的数据来为临床实践和政策决策提供信息.
- 改善数据对于优化医疗保健系统效率和改善ECMO幸存者的长期结果至关重要.
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