基线患者报告的健康状况预测慢性心力衰竭的住院时间和成本
Alexandra Minca1, Claudiu Popescu2, Dragos Mincă3,4
1Public Health, University of Medicine and Pharmacy "Carol Davila", Bucharest, ROU.
Cureus
|November 13, 2025
概括
患者报告的结果,特别是堪萨斯城心肌病问卷 (KCCQ) 总体总结得分 (KCCQ-OSS),独立预测慢性心力衰竭 (CHF) 患者的住院费用和持续时间.
科学领域:
- 心脏病学 心脏病学
- 卫生经济学 卫生经济学
- 患者报告的研究结果研究结果
背景情况:
- 慢性心力衰竭 (CHF) 对医疗保健系统构成重大负担,需要有效地分配资源.
- 了解住院费用和住院时间的预测因素对于有效的患者管理至关重要.
研究的目的:
- 调查患者报告结果 (PROs) 对CHF患者住院费用和持续时间的预测价值.
- 确定堪萨斯城心肌病问卷总体总结得分 (KCCQ-OSS) 是否是这些结果的独立预测因素.
主要方法:
- 一项观察性,横截面研究,涉及171名入院于大学医院的成人CHF患者.
- 数据收集包括经过验证的罗马尼亚KCCQ,临床访谈,体检和心声回声.
- 用通用线性模型分析了KCCQ-OSS与住院费用/住院时间之间的关联,并对混因素进行了调整.
主要成果:
- 在KCCQ-OSS下降10点与住院时间增加9.5%有关.
- 在KCCQ-OSS增加10点与住院费用增加5.1%有关,这可能是由于健康患者的选择性手术.
- KCCQ-OSS在成本和持续时间方面表现出独立的预测能力.
结论:
- 该KCCQ-OSS是一个有价值的,独立的预测医院住院费用和持续时间的CHF患者.
- 将KCCQ评估整合到常规护理中可以帮助识别高风险,高成本的患者,以改善资源配置和基于价值的管理.
- 需要在更大的多中心环境中进行进一步的研究来验证这些发现.
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