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,P<0.001),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,P<0.01)。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。
OBJECTIVE To investigate the increase of disease cost of patients with hypertensive intracerebral hemorrhage due to nosocomial infections so as to provide guidance for development of related policies.METHODS A total of 272 patients with hypertensive intracerebral hemorrhage who were treated in neurosurgery department wards of a three A hospital from Jan 1,2015 to Dec 31,2016 were recruited as the study objects,the hypertensive intracerebral hemorrhage patients who had nosocomial infections were assigned as the infection group.the control group was set in a 1∶1 matching ratio,the median hospitalization cost and length of hospital stay were determined,and the economic loss was compared by means of rank sum test.RESULTS Of the 272 hypertensive intracerebral hemorrhage patients,57 had nosocomial infections,with the infection rate 20.96% ,of whom 59.42% had lower respiratory tract infections.The median of total hospitalization cost was 90 601.54 yuan in the infection group,52219.88 yuan in the control group,and the direct economic loss was 38381.66yuan（Z=4.918,P〈0.01）.The median of length of hospital stay was 29 days in the infection group,19 days in the control group,and the length of hospital stay was prolonged by 10 days after the infection（Z=3.818,P〈0.01）.CONCLUSION The nosocomial infections may result in the increase of hospitalization cost and extension of hospitalization duration of the patients with hypertensive intracerebral hemorrhage,therefore,it is crucial to effectively control the nosocomial infection.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2017年第18期4238-4241,共4页
Chinese Journal of Nosocomiology
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)
关键词
高血压脑出血
医院感染
经济学评价
Hypertensive intracerebral hemorrhage
Nosocomial infection
Economic evaluation
