美国住院患者牙病原性感染的经济负担
Tim T Wang1, Lang Liang2, Nicholas Wilken3
1Resident, Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, MA.
概括
牙感染每年给美国造成1.42亿美元的损失. 疾病的严重程度,特别是呼吸道干预和中炎,显著增加了医院费用,排水时间是唯一可修改的因素.
科学领域:
- 口腔和牙面部外科手术
- 卫生经济学 卫生经济学
- 传染性疾病 传染性疾病
背景情况:
- 牙感染是美国医疗保健支出的一个重要,可预防的原因.
- 这些感染的经济负担还不清楚.
- 这项研究量化了管理牙病原性感染的成本.
研究的目的:
- 估计每次入院医院的费用,用于管理牙感染.
- 确定与增加住院费用相关的因素.
- 为传染病管理提供成本节约策略的信息.
主要方法:
- 使用国家住院样本 (NIS) 数据库 (2017-2019) 的回顾性队列研究.
- 包括因牙引起的感染 (ICD-10代码) 的成人住院病例.
- 使用成本与费用比率计算成本,经通货膨胀调整.
主要成果:
- 估计每年的国家成本为1.42亿美元.
- 每次入场的平均费用为8,162美元.
- 呼吸道干预 (CR 3.04) 和中炎 (CR 2.50) 等疾病严重性标志物推动了成本. 排水时间 (CR 1.13) 是唯一可修改的因素.
结论:
- 住院治疗牙病原性感染带来了相当大的国家成本.
- 成本主要是由疾病严重程度指标驱动的.
- 针对可修改的因素,如及时排水,可以减少经济负担.
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