人工关节置换术术后医院感染经济损失的病例对照研究

发布时间：2018-04-03 13:13

本文选题：人工关节置换术　切入点：术后医院感染　出处：《中华医院感染学杂志》2017年01期

【摘要】：目的探讨人工关节置换术患者术后医院感染所造成的经济损失,使医务人员对人工关节置换术术后医院感染的危害有更直观的认识,提高其感染预防控制意识。方法采用1∶1配对病例对照研究方法,选取两所医院2013年4月-2015年6月人工关节置换术术后发生医院感染患者34例作为病例组,同期未发生感染的34例患者作为对照组,比较两组患者住院费用等差异。结果病例组和对照组患者的平均总费用(中位数)分别为81 844、67 574元(P0.01),平均每例患者由医院感染所造成的经济损失为14 270元,直接经济损失11 662元,间接经济损失2 115元,延长住院日8d;在直接分类费用中,病例组与对照组的西药费、治疗费、床位费、化验费、护理费、诊查费、其他费比较,差异有统计学意义(P0.05),在间接分类费用中,病例组与对照组的伙食费、误工费、陪护费比较,差异有统计学意义(P0.05)。结论人工关节置换术术后发生医院感染明显增加患者的直接费用、间接费用和住院时间,给患者造成巨大的经济损失,应采取有效管理方法,控制医院感染。
[Abstract]:Objective to explore the economic loss caused by nosocomial infection in patients with artificial joint replacement, to make medical staff know more directly the harm of nosocomial infection after artificial joint replacement, and to improve their consciousness of infection prevention and control.Methods A 1:1 matched case-control study was conducted. 34 patients with nosocomial infection after artificial joint replacement in two hospitals were selected as case group and 34 patients without infection as control group from April 2013 to June 2015.The difference of hospitalization expenses between the two groups was compared.Results the average total cost (median) of the patients in the case group and the control group was 81.84444,67,574 yuan (P 0.01) respectively. The average economic loss caused by nosocomial infection in each patient was 14,270 yuan, the direct economic loss was 11,662 yuan, and the indirect economic loss was 2,115 yuan.In the direct classification cost, the cost of western medicine, treatment, bed, laboratory examination, nursing, consultation, and other expenses in the case group and the control group were significantly higher than those in the control group (P 0.05).There was significant difference between the case group and the control group (P 0.05).Conclusion the nosocomial infection after artificial joint replacement obviously increases the direct cost, indirect cost and hospitalization time of the patients, and causes huge economic loss to the patients. The effective management methods should be adopted to control the nosocomial infection.
【作者单位】：温州市中西医结合医院感染管理科;浙江中医药大学附属第一医院院感科;
【分类号】：R687.4;R197.323

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