呼吸机相关肺炎和颅脑手术部位感染直接经济损失研究

发布时间：2018-03-09 19:03

本文选题：呼吸机相关肺炎　切入点：颅脑手术部位感染　出处：《中国消毒学杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的了解三甲综合医院住院患者因呼吸机相关肺炎(VAP)和颅脑手术部位感染(NSSI)导致的平均住院日延长和直接经济损失,为制定预防和控制医院感染决策提供依据。方法采用1∶1匹配的病例对照研究设计,筛选江苏省4家三甲医院2013年5月-2014年4月期间住院患者进行回顾性分析。结果纳入研究对象共226对,其中VAP 155对,SSI 76对。因VAP导致患者平均住院费增加(10.43±12.24)万元,平均住院日延长(16.67±33.57)d。因SSI导致的平均住院费增加(2.90±3.18)万元,平均住院日延长(15.13±19.65)d(P0.001)。结论VAP和NSSI可以显著增加患者的经济负担和疾病负担,需要采取积极有效的措施,预防与控制VAP和NSSI发生,保障患者安全。
[Abstract]:Objective to investigate the average length of stay and direct economic loss caused by ventilator associated pneumonia (VAP) and craniocerebral operation site infection (NSSI) in the hospitalized patients in the third A General Hospital. Methods 1: 1 matched case-control study was used to provide the basis for decision-making on the prevention and control of nosocomial infection. A retrospective analysis was carried out among 4 third-class hospitals in Jiangsu Province from May 2013 to April 2014. Results A total of 226 pairs of patients were included in the study, of which 76 pairs were VAP. The average hospitalization cost of patients increased by 10.43 卤12.24 yuan because of VAP. The average length of hospital stay was 16.67 卤33.57 days. The average hospitalization expenses due to SSI increased by 2.90 卤3.18 million yuan, and the average hospitalization days were prolonged by 15.13 卤19.65 dU P0.0010.Conclusion VAP and NSSI can significantly increase the economic burden and disease burden of patients, so it is necessary to take active and effective measures. To prevent and control the occurrence of VAP and NSSI and ensure the safety of patients.
【作者单位】：南京医科大学第一附属医院;徐州医学院附属医院;南京医科大学附属常州市第二人民医院;苏州大学第一附属医院;
【基金】：江苏省卫生厅预防医学研究项目(2012046) 江苏省高等教育机构优势学科建设项目(jx10231801)
【分类号】：R563.1;R651.1

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