急性冠状动脉综合征的治疗费用:一个回顾性分析
Luke Frizzell1, Jonathan Deleon1, Sean Reilly1
1Texas A&M University College of Medicine, Temple, Texas, USA.
Proceedings (Baylor University. Medical Center)
|August 18, 2025
概括
冠状动脉旁路移植 (CABG) 的总成本比皮肤冠状动脉干预 (PCI) 高,因为住院时间较长,但每日费用较低. 减少逗留时间 (LOS) 是管理CABG费用和再接收的关键.
科学领域:
- 心血管医学 心血管医学
- 卫生经济学 卫生经济学
背景情况:
- 急性冠状动脉综合征 (ACS) 治疗包括冠状动脉旁路移植 (CABG),皮肤冠状动脉干预 (PCI) 和医疗管理 (MM) 等策略.
- 以前的分析表明,CABG的结果优于PCI和MM.
研究的目的:
- 分析基于策略 (CABG与PCI),住院时间 (LOS) 和再入院率的ACS治疗成本变化.
- 确定不同ACS治疗途径的总费用和每日费用的关键驱动因素.
主要方法:
- 一项利用4267名ACS患者 (2018-2022) 电子健康记录的副研究.
- 提取CABG,PCI和MM队伍的总退款,LOS和再接收数据.
- 对比性成本分析,重点关注总费用,每日费用,LOS和再接收影响.
主要成果:
- 与PCI患者相比,CABG患者的总费用较高 (+106,047美元),主要是由8.35天长的LOS驱动的.
- 尽管总成本较高,但CABG患者的平均每日费用低于PCI患者 (+ 14,957美元).
- 再录取增加了总费用,平均为22,765美元±11,820美元,尽管由于延长了LOS,每日费用仍然较低.
结论:
- 对CABG和再接收的总成本较高,强调了需要制定减少LOS的战略.
- 优化LOS和最大限度地降低与CABG和再录取相关的费用对于具有成本效益的ACS管理至关重要.
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