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败血症后的医疗保健费用:一个系统性审查
Victoria Chechulina1, Fatima Sheikh2, Meghan Lóser3
1Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, 3rd floor, 1465 Richmond Street, N6G 2M1, London, ON, Canada. vchechul@uwo.ca.
Critical care (London, England)
|August 22, 2025
概括
毒症患者在住院后面临相当大的医疗费用, 这些长期的经济负担使得毒症成为干预的关键目标.
科学领域:
- 健康经济学
- 传染性疾病
- 危急护理医学
背景情况:
- 败血症是一种危及生命的疾病,
- 对于毒症幸存者来说, 医疗费用仍未得到充分描述.
- 了解长期成本有助于确定减少医疗保健支出的目标.
研究的目的:
- 系统地审查和描述发达国家的败血症幸存者的住院后医疗费用.
- 综合现有证据,说明初次出院后的败血症的经济负担.
主要方法:
- 从2000年到2025年对主要数据库 (MEDLINE,Embase,CINAHL,Cochrane) 的系统文献搜索.
- 由两个审查员进行独立选,数据提取和质量评估 (纽卡斯尔-太华尺度).
- 叙述综合总结解诊后医疗保健成本的发现.
主要成果:
- 包括23项观察性研究,其成本计算方法和报告期各不相同.
- 医疗费用中位数在第一年为28,719美元,第二年为22,460美元.
- 在大多数研究中,败血症幸存者与非败血症患者相比,在出院后的费用更高.
结论:
- 败血症的幸存者在出院后很长时间就会面临重大和持续的医疗费用.
- 这些发现强调了败血症对健康的长期经济影响.
- 针对败血症的干预措施对于改善结果和减少医疗保健支出至关重要.
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