某三级医院高血压脑出血手术患者医院感染卫生经济学评价

发布时间：2018-05-13 05:02

本文选题：高血压脑出血 + 医院感染　；参考：《中华医院感染学杂志》2017年18期

【摘要】：目的分析高血压脑出血手术患者因医院感染所致的疾病成本的增加情况,为医院管理部门制定相关政策提供依据。方法以某三级甲等医院2015年1月1日-2016年12月31日神经外科病区272例高血压脑出血手术患者为研究对象,发生医院感染的高血压脑出血手术患者为感染组,1∶1条件配比后选出对照组,使用中位数描述两组患者住院费用和住院天数的平均水平,采用秩和检验比较经济损失。结果 272例高血压脑出血手术患者中有57例发生医院感染,感染率为20.96%,医院感染部位以下呼吸道为主,占59.42%;感染组患者住院总费用中位数为90601.54元,对照组为52219.88元,直接经济损失38381.66元(Z=4.918,P0.001),感染组患者住院天数中位数为29d,对照组为19d,感染后住院时间平均延长10d(Z=3.818,P0.01)。结论高血压脑出血手术患者医院感染导致住院费用增加,住院时间延长,因此有效控制医院感染的发生至关重要。
[Abstract]:Objective to analyze the increasing cost of nosocomial infection in patients with hypertensive intracerebral hemorrhage (hypertensive intracerebral hemorrhage), and to provide evidence for hospital management to make relevant policies. Methods from January 1, 2015 to December 31, 2016, 272 patients with hypertensive intracerebral hemorrhage in a Grade 3A hospital were studied. The patients with hypertensive intracerebral hemorrhage who had nosocomial infection were selected as control group after 1: 1. The median was used to describe the average level of hospitalization cost and length of stay in the two groups, and the economic loss was compared by rank sum test. Results among the 272 patients with hypertensive intracerebral hemorrhage, 57 had nosocomial infection, the infection rate was 20.966.Respiratory tract below the nosocomial infection site was predominant, accounting for 59.42.The median hospitalization cost of the infected patients was 90601.54 yuan, while that of the control group was 52219.88 yuan. The direct economic loss was 38381.66 yuan (RMB 4.918) P0.001, the median hospitalization days of the patients in the infection group was 29 days, and that in the control group was 19 days. The average hospitalization time after infection was prolonged by 10 days. Conclusion Nosocomial infection in patients with hypertensive intracerebral hemorrhage (hypertensive intracerebral hemorrhage) leads to the increase of hospitalization cost and the prolongation of hospital stay.
【作者单位】：滨州医学院附属医院神经外科三病区;滨州医学院附属医院院感办;滨州医学院附属医院护理部;
【基金】：山东省医药卫生科技发展计划基金资助项目(2015WS0491) 医院管理创新基金资助项目(FY2014GL06,FY2016GL02)
【分类号】：R197.323;R651.1

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