紧急转账与增加的财务费用有关
Sanjiv D Mehta1,2, Meghan Galligan3,4,5, Jonathan Race6
1Department of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Hospital pediatrics
|December 4, 2025
概括
儿科紧急转移 (ETs) 显著增加了儿童的医院费用. 投资系统以防止这些计划外的重症监护病房 (ICU) 转移是临床和财务原因至关重要的.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 医疗保健经济学 医疗保健经济学
- 医院管理部门 医院管理部门
背景情况:
- 儿科紧急转移 (ETs) 是计划外的重症监护室 (ICU) 转移,需要立即进行关键干预.
- 外星人与死亡率增加和住院时间延长有关.
- 儿科外来治疗的财务影响在很大程度上仍未得到量化.
研究的目的:
- 为了比较与儿科紧急转移 (ETs) 与非ETs相关的转移后财务费用.
- 为了确定在儿科医院环境中ET的经济负担.
主要方法:
- 一项回顾性队列研究分析了2015-2019年在儿童医院的2034次ICU转移.
- 在ET和非ET之间比较总和每日转移后费用 (ICU和总医院费用).
- 根据患者因素 (年龄,慢性疾病) 和转移特征 (LOS,服务,恶化类型) 进行调整,使用回归模型.
主要成果:
- 外汇交易与显著更高的未调整和调整后转移费用有关.
- 经调整后,ET的费用增加为ICU的65%,总住院时间的49%,每天的20%.
- 费用增加因原始服务和损坏类型而异,呼吸器ET显示成本增加最多.
结论:
- 儿科紧急转移 (ET) 对医院来说是一个巨大的财务负担.
- 这些发现强调了实施预防策略以减少ET的经济必要性.
- 减少ET可以节省大量的成本,同时改善患者的治疗结果.
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