摘要
目的研究脑梗死患者并发医院感染所致的经济损失,提高医院感染的管理水平,进一步改善医疗环境。方法选取2012年1月—2014年1月河北省唐山市某三级甲等医院神经内科因急性脑梗死收入院并发医院感染的患者92例作为感染组,按照1∶1配对原则,选取同期入院但未并发医院感染的住院患者92例作为对照组。采用回顾性分析,研究对象均填写统一的调查表,调查内容包括姓名、性别、年龄、入院第一诊断、出院诊断、并发医院感染类型、住院天数、收费类型、住院总费用、药物治疗费用、检查诊断费用以及其他费用等。结果感染组人均住院总费用、人均药物费用、人均影像检查费用、人均护理费用均高于对照组(t=18.20、-12.71、-40.70、-21.97,P<0.05)。感染组平均住院时间为(15.8±3.0)d,长于对照组的(11.5±2.8)d(t=21.60,P<0.05)。感染组大动脉粥样硬化(LAA)型患者平均住院时间长于对照组,总费用高于对照组(t=-25.701、-20.616,P<0.001)。感染组小动脉闭塞(SAO)型患者平均住院时间长于对照组,总费用高于对照组(t=-9.706、-8.934,P<0.001)。感染组和对照组心源性栓塞(CE)型患者平均住院时间比较,差异无统计学意义(t=-3.273,P=0.082);感染组CE型患者总费用高于对照组(t=-6.003,P=0.027)。结论脑梗死患者并发医院感染会较未并发医院感染的患者住院时间更长、花费更多。
Objective To study the economic losses of the nosocomial infection in patients with cerebral infarction,improve the management level of nosocomial infection and improve medical environment. Methods 92 nosocomial infection patients with cerebral infarction in the Department of Neurology in a Third Grade Class- A Hospital in the city of Tangshan from January 2012 to January 2014 were in the test group. In strict accordance with the 1∶ 1 matching principle,another 92 patients with cerebral infarction hospitalized in the same time without nosocomial infection were in control group. By retrospective analysis,all the research subjects were asked to fill in the questionnaire, including name, gender, age, first admission diagnosis,discharge diagnosis,complicated nosocomial infection type,hospitalization days,hospital charge type,total hospital cost,drug therapy cost,examination and diagnosis cost,and other costs etc. Results The total hospital cost per capita,drug therapy cost per capita,imaging examination cost per capita,nursing cost per capita of the nosocomial infection group were much higher than those of the control group（ t = 18. 20,- 12. 71,- 40. 70,- 21. 97,P 0. 05）. The averaged hospitalization day of the infection group was（ 15. 8 ± 3. 0） d,longer than that of the control group,which was（ 11. 5 ± 2. 8） d（ t = 21. 60,P 0. 05）. For the LAA patients and SAO patients,their averaged hospitalization days were both longer and the total hospital costs were both higher than those of control group（ t =- 25. 701,- 20. 616,P 0. 001）,（ t =- 9. 706,- 8. 934,P 0. 001）. For CE patients,although no significant difference was found in the averaged hospitalization day（ t =- 3. 273,P =0. 082）,the total cost was higher（ t =- 6. 003,P = 0. 027）. Conclusion Patients with nosocomial infection stay more days and spend much money than patients without nosocomial infection.
出处
《中国全科医学》
CAS
CSCD
北大核心
2015年第8期963-965,共3页
Chinese General Practice
关键词
脑梗死
交叉感染
经济损失
配对分析
Brain infarction
Cross infection
Economic loss
Matched-pair analysis
