医院感染的脆弱性与医疗保健利用之间的关联:来自2016年至2020年的全国住院患者样本的证据
Seohyun Woo1, Mar Medina2, Ji Eun Kim1
1Department of Medical Science, Soonchunhyang University Graduate School.
Journal of patient safety
|March 2, 2026
概括
住院感染 (HAI) 影响23.4%的住院患者,老年患者,少数群体和低收入患者的风险更高. 高血压感染增加了死亡率,医院费用和住院时间,突出显示了患者安全方面的差异.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 流行病学 流行病学
背景情况:
- 医院感染 (HAI) 对医疗保健系统构成重大负担.
- 了解影响HAI脆弱性的患者和医院因素对于有效的患者安全策略至关重要.
研究的目的:
- 确定与医院获得感染 (HAI) 脆弱性相关的患者和医院因素.
- 检查HAI患者在医疗保健利用方面的差异.
主要方法:
- 美国国家住院患者样本 (2016-2020年) 的分析,包括超过1890万住院患者.
- 多变量逻辑和线性回归模型用于评估HAI发生,住院死亡和医疗保健利用 (费用,LOS) 的风险因素.
- 根据社会人口统计学因素进行子组分析.
主要成果:
- 超过9460万住院患者中有23.4%患有HAI,随着时间的推移逐渐增加.
- 年龄较大,女性性别,西班牙裔种族,低收入和医疗保险/医疗补助覆盖率与更高的HAI风险有关.
- 医院住院感染与增加的住院死亡,更高的住院费用和更长的住院时间 (LOS) 相相关.
结论:
- 社会人口统计学和医院因素显著影响HAI的脆弱性,死亡率和医疗保健成本.
- 在不同患者群体和医院环境中,HAI脆弱性的异质性是显而易见的.
- 风险分层可以增强患者安全努力,以减轻HAI风险.
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