住院诊断成像在儿童医院使用的频率,成本和变化
Megan E Collins1,2, John R Stephens3, Matt Hall1,4
1Department of Pediatrics, Children's Mercy Kansas City, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri, USA.
Journal of hospital medicine
|October 10, 2025
概括
胸部X射线 (CXR) 和心血管超声波是住院儿童最常见和最昂贵的成像测试. 这些研究,特别是在重症监护室 (ICU) 和复杂慢性疾病 (CCC) 中,导致了大量的医疗保健费用.
科学领域:
- 儿科医疗保健研究的研究.
- 医学成像分析分析 医学成像分析
- 卫生经济学 卫生经济学
背景情况:
- 诊断成像对于儿科患者护理至关重要.
- 住院儿童成像研究的流行率和成本在很大程度上是未知的.
- 了解成像利用对于降低成本和提高质量至关重要.
研究的目的:
- 确定住院儿童中最频繁,最昂贵,最重复的诊断成像研究.
- 分析重症监护室 (ICU) 患者和患有复杂慢性疾病 (CCC) 患者的成像模式.
- 评估成像实践中医院间的差异.
主要方法:
- 在45家儿童医院中,从2021-2022年对超过150万次儿科医院接触的回顾性队列研究.
- 使用计费代码来识别和分类诊断成像研究的模式和身体系统.
- 测量成像频率,成本,重复率和医院变化,按患者群体 (ICU,CCC) 分层.
主要成果:
- 59.1%的遭遇包括成像,总计2.03亿美元的成本.
- 胸部X射线 (CXR),腹部X射线和心血管 (CV) 超声波是最常见和重复的.
- 心血管超声波,CXR和神经/头部MRI的累计成本最高.
- 集中治疗室和CCC的遭遇占成像成本的不成比例份额 (分别为44.6%和74.2%).
结论:
- CXR和CV超声波是住院儿童成像频率和成本的主要驱动因素.
- 集中治疗室的患者和CCC患者占成像学费的绝大多数.
- 这些发现为识别成像过度使用和建立护理基准提供了基础.
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