血液病患者医院肺部感染经济学分析

发布时间：2018-10-05 09:44

【摘要】：目的分析血液系统3种常见血液病患者发生医院肺部感染所延长的住院天数和增加的住院费用,为制定血液病患者感染控制策略提供参考依据。方法回顾性分析2013年1月-2014年12月医院血液科935例血液病住院患者临床资料,共住院2 850例次,血液病包括淋巴瘤、骨髓瘤和急性白血病3种;将发生医院肺部感染的226例患者设为病例组,按照条件进行1∶2匹配,选择对照组患者452例,比较两组患者的住院费用和住院天数,采用SPSS22.0软件进行统计分析。结果 2 850例次患者肺部感染226例次,例次感染率为7.93%;淋巴瘤、骨髓瘤和急性白血病3种血液病患者医院肺部感染率分别为3.40%、10.67%和20.67%;病例组较对照组延长住院16d,增加住院费用66 202.47元,其中西药费增加42 990.64元;淋巴瘤、骨髓瘤和急性白血病病例组较对照组延长住院分别为20、14d和10d;增加费用分别为54 733.16、35 682.95元和69 668.53元;日均增加费用分别为2 736.66、2 548.78元和6 966.85元。结论 3种血液病患肺部感染率较高,肺炎明显延长患者住院天数,加重患者经济负担;急性白血病肺部感染率最高,直接经济损失最大,是医院感染预防控制的重点。
[Abstract]:Objective to analyze the length of hospital stay and the increase of hospital expenses in patients with three kinds of hematologic diseases, and to provide reference for making infection control strategy for patients with hematologic diseases. Methods the clinical data of 935 patients with hematologic diseases in hospital from January 2013 to December 2014 were retrospectively analyzed, including 2,850 cases of hematologic diseases, including lymphoma, myeloma and acute leukemia. 226 patients with nosocomial pulmonary infection were selected as the case group and matched at 1:2 according to the conditions. 452 patients in the control group were selected. The hospitalization expenses and hospitalization days of the two groups were compared, and the statistical analysis was carried out by SPSS22.0 software. Results there were 226 cases of pulmonary infection in 2 850 cases, the infection rate was 7.93 times. The nosocomial pulmonary infection rate of the patients with myeloma and acute leukemia were 3.400.67% and 20.67.The hospital stay in the case group was longer than that in the control group for 16 days, and the hospitalization cost was 66 202.47 yuan, including 42 990.64 yuan for western medicine. Compared with the control group, the patients with myeloma and acute leukemia were hospitalized for 20 days for 14 days and 10 days, respectively, the increased costs were 54 733.1635 682.95 yuan and 69 668.53 yuan respectively, and the average daily increased costs were 2 736.66 6 548.78 yuan and 6 966.85 yuan respectively. Conclusion the pulmonary infection rate of the three kinds of blood patients is high, the pneumonia obviously prolongs the hospitalization days of the patients, exacerbates the economic burden of the patients, and the pulmonary infection rate of acute leukemia is the highest and the direct economic loss is the biggest, which is the key point of the prevention and control of nosocomial infection.
【作者单位】：解放军总医院海南分院血液科;解放军总医院感染管理与疾病控制科;解放军总医院护理部;
【基金】：国家科技重大专项基金子课题(2013ZX10004805-003,2013ZX10004217-002) 解放军总医院科技创新苗圃基金资助项目(12KMM09)
【分类号】：R733;R563.1

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