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在德克萨斯州,对患有先天性异常的婴儿增加了手术医疗的使用率

Bea B Jeon^1,2, Sarah Peiffer^1,2, Shannon M Larabee^1,2

¹Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, United States.

Frontiers in surgery

|July 31, 2025

概括

需要手术的先天性异常 (CA) 的婴儿在2021年在德克萨斯州的医院费用中产生了48亿美元. 财务负担随着受先天性异常影响的器官系统数量增加而增加.

科学领域:

医学经济学医学经济学
儿科手术儿科手术
公共卫生公共卫生

背景情况:

先天性异常 (CA) 影响3%的活产儿,对医疗保健成本做出了重大贡献.
虽然多学科护理和外科手术对CA很常见,但对需要手术的婴儿的总财务影响在很大程度上仍未被描述.

研究的目的:

评估和描述与被诊断患有先天性异常需要手术干预的婴儿相关的医疗费用.

主要方法:

使用德克萨斯州住院患者公共使用数据文件 (2021) 进行了一项回顾性数据库研究.
使用ICD-10代码识别了具有先天性异常和手术需求的婴儿入院 (<365天).
描述性统计数据用于分析医院费用和入院数据.

主要成果:

出生异常 (CA) 手术入院占住院手术费用总额的48亿美元 (73.4%),尽管占整体入院费用的比例较小.
随着受影响器官系统的数量,每次CA手术的中位数显著增加:1,296美元 (1CA),4,517美元 (2CA),20,272美元 (3CA) 和25,313美元 (4+CA).
参与器官系统的数量更多与需要手术的入院比例增加相关.

结论:

患有先天性异常的婴儿的外科护理对医疗保健系统造成了巨大的经济负担,占住院外科手术费用的比例不成比例.
随着先天性异常所涉及的器官系统数量增加,护理的复杂性和成本就会增加.
这些发现强调了先天性异常的重大经济影响,需要在婴儿中进行手术干预.

关键词:

照顾的负担照顾的负担收取护理费用的费用.儿童外科手术验证 (CSV)遗传异常 (CAs) 是一种先天性异常.护理费用护理费用护理费用根据残疾调整的寿命年 (DALY)婴儿手术护理婴儿手术护理逗留时间 (LOS)

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