肝移植患儿医院感染相关经济损失分析

发布时间：2019-04-27 07:20

【摘要】：目的分析肝脏移植患儿因医院感染所造成的直接经济损失,探讨造成医院感染的危险因素,采取针对性措施降低医院感染的发生,进而减少患者的经济损失。方法采用病例对照研究的方法,以某综合医院2014年1月1日-2015年12月31日期间符合研究条件的肝脏移植手术患儿222例为研究对象,将发生医院感染的58例患儿作为感染组,未发生感染的164例患儿作为对照组,分析比较两组住院费用和住院天数,分析医院感染导致的直接经济损失。结果 222例患者中58例发生医院感染,感染率为26.13%,感染部位以血液系统、手术部位和呼吸系统为主。感染组的平均医疗费用为131 605元,高于对照组,两组中位数差值为26 351元(P0.001),增加最多的是西药费和化验费,分别增加6 276元和6 031元。感染组患儿平均住院62d,对照组患儿平均住院44d,感染组患儿较对照组患儿延长住院天数18d(P0.001)。结论肝移植患儿术后发生医院感染会导致较大直接经济损失,应加强医院感染管理,减少医院感染的发生,降低患儿的经济负担。
[Abstract]:Aim to analyze the direct economic loss caused by nosocomial infection in children with liver transplantation, to explore the risk factors of nosocomial infection, and to take specific measures to reduce the incidence of nosocomial infection and then to reduce the economic loss of patients. Methods A case-control study was conducted in 222 children undergoing liver transplantation in a general hospital from January 1, 2014 to December 31, 2015, and 58 children with nosocomial infection were selected as infection group. 164 children without infection were used as the control group. The hospitalization expenses and hospitalization days were compared between the two groups, and the direct economic losses caused by nosocomial infection were analyzed. Results Nosocomial infection occurred in 58 of 222 patients, the infection rate was 26.13%. The main infection sites were blood system, operation site and respiratory system. The average medical cost of the infection group was 131,605 yuan, which was higher than that of the control group. The median difference between the two groups was 26,351 yuan (P0.001). The most significant increase was the western medicine cost and the test cost, which increased by 6,276 yuan and 6.031 yuan, respectively. The average hospitalization was 62 days in the infection group, 44 days in the control group, and 18 days longer in the infection group than that in the control group (P0.001). Conclusion Nosocomial infection after liver transplantation can lead to large direct economic loss. We should strengthen the management of nosocomial infection, reduce the occurrence of nosocomial infection and reduce the financial burden of children.
【作者单位】：天津市第一中心医院预防保健处;天津市第一中心医院器官移植中心;
【基金】：天津市卫生行业重点攻关基金资助项目(16KG107)
【分类号】：R726.5

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