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全国范围的分析,医院一级的差异,在腹囊的管理
Veronica K Han1, Hardeep S Tiwana2, Dean G Kennedy1
1Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.
International journal of pediatric otorhinolaryngology
|December 19, 2025
概括
腹腹 (PTA) 的治疗在安全网 (SNH) 和非安全网医院 (非SNH) 中是相似的,再入院率相似. 年轻患者面临更高的再接收风险,这表明需要有针对性的干预措施.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 腹腹 (PTA) 是一种普遍存在的深部感染,需要及时治疗.
- 了解医院类型,特别是安全网 (SNH) 与非安全网医院 (非SNH) 对PTA患者结果的影响至关重要,但缺乏广泛的证据.
研究的目的:
- 评估围腹 (PTA) 入院的国家结果.
- 为了比较安全网医院 (SNH) 和非安全网医院 (非SNH) 之间的治疗,再入院和整体结果.
- 分析患者人口统计学对不同类型医院PTA结果的影响.
主要方法:
- 使用2020年HCUP国家再接收数据库进行回顾性队列研究.
- 纳入标准:由于腹腹 (PTA) 的入院.
- 对人口统计,临床和医院级因素的分析,包括停留时间 (LOS) 和费用,比较SNH和非SNH.
主要成果:
- 在3915个入院中,PTA的30天再入院率为4.9%.
- 25岁以下的患者占入院率的41.5%,并呈现出更高的再入院率 (5.2%).
- 在SNH和非SNH之间没有观察到重收率,LOS或收费的显著差异,尽管SNH为更多的医疗补助/低收入患者提供服务.
结论:
- 腹腹 (PTA) 管理方案在SNH和非SNH之间似乎是一致的,产生类似的患者结果.
- 年轻的患者群体 (<25岁) 显示30天再入院的风险较高.
- 医院类型之间的医疗保健成本差异需要进一步调查资源利用情况以及桃体切除术在PTA管理中的潜在作用.
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