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根据诊断相关群体 (DRG) 分析住院患者的跌倒造成的成本:一项病例对照研究
Mercedes Fernández-Castro1,2, Noel Rivas-González2,3, Belén Martín-Gil2,4
1Research Support Unit, Valladolid University Clinical Hospital, 47005 Valladolid, Spain.
住院患者的跌倒显著增加了医院费用,特别是在下肢截肢或特定手术和医疗条件的患者身上. 识别这些高风险的诊断相关群体 (DRG) 是提高患者安全和医疗保健可持续性的关键.
科学领域:
- 医疗保健经济学 医疗保健经济学
- 患者安全 患者安全
- 医院管理部门 医院管理部门
背景情况:
- 住院患者跌倒是医院中不良事件的主要原因.
- 估计落的经济影响对于资源分配和改善患者护理至关重要.
研究的目的:
- 量化与住院患者跌倒相关的过度住院费用.
- 确定特定的诊断相关群体 (DRG),与与下降相关的成本增加有关.
主要方法:
- 采用了病例控制研究设计,分析了613次跌倒和623次匹配的对照.
- 诊断相关组 (DRG) 的相对权重被用作资源消耗和成本估计的代理.
- 在2020年至2022年期间,从19个住院病房收集了数据.
主要成果:
- "除脚外的下肢截肢"的DRG显示,跌倒的风险增加了四倍.
- 五个DRG在摔倒的患者中产生了显著更高的成本:三个是外科手术 (尿道手术,心脏门手术,下肢动脉手术) 和两个是医疗 (心力衰竭,主要肺部感染).
结论:
- 识别与高降落相关成本的DRG可以对资源消耗和患者临床概况进行彻底评估.
- 这些发现支持制定有针对性的护理策略,以提高患者安全并促进医疗保健系统的可持续性.
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