在日本的一家二级医院确定高成本RSV住院
Tomomi Matsuda1, Yoshiko Seki2, Masayuki Akashi3
1Department of Pediatrics, Keio University School of Medicine, Tokyo, Japan.
The Keio journal of medicine
|January 25, 2026
概括
呼吸道综合体病毒 (RSV) 的住院费用很高,即使是在二级医院. 高成本的病例包括患有慢性疾病的老年儿童和健康的幼儿,这表明需要完善预防策略.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 卫生经济学 卫生经济学
背景情况:
- 呼吸道同胞病毒 (RSV) 是全球婴儿住院的主要原因.
- 关于二级医院RSV医疗保健成本的数据有限.
- 了解这些成本对于资源分配和公共卫生规划至关重要.
研究的目的:
- 分析日本一家二级医院的RSV相关住院费用.
- 确定导致高成本RSV病例的因素.
- 为预防和干预策略的潜在改进提供信息.
主要方法:
- 从2018年4月到2024年5月,对345例实验室确认的RSV住院病例进行了回顾性分析.
- 根据医疗补偿计划的修订,研究期分为三个阶段.
- 使用IQR方法计算住院费用和确定成本异常值.
主要成果:
- 在整个研究阶段,每次病发的医院住院费用中位数增加 (318.930日元至393.930日元).
- 确定了18个高成本的异常录取.
- 异常值包括有呼吸道/神经系统疾病的儿童,12个月以下的健康婴儿,以及在palivizumab资格期之外的婴儿.
结论:
- 高成本的RSV病例超出了目前定义的高风险群体.
- 患有慢性呼吸道疾病的老年儿童和健康的幼儿代表着巨大的成本负担.
- 在日本,完善预防和早期干预策略可以减少临床负担和医疗保健成本.
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