摘要
目的探讨医院感染对患者住院日和直接经济负担的影响,以期为制定合理的医院感染预防控制策略提供数据支持。方法选取2018年1月-2018年12月唐山市工人医院出院、首次入院、主要信息完整的患者作为研究对象,按诊断标准将研究对象分为院感染组和非院感组,采取倾向得分匹配法进行1∶1病例对照研究,分析医院感染对住院日、总住院费、日均住院费的影响,及其与超长住院日、高额医疗费的关系。结果共有497对研究对象纳入了本研究,院感组住院日较非院感组延长了6 d(P<0.05),发生超长住院日的危险度是非院感组的3.815倍,归因危险百分比为73.788%;院感组住院费高出非院感组2.622万元(P<0.05),院感组医疗服务费、药费、材料费、检查费、化验费均高于非院感组(P<0.001);院感组发生高额医疗费用的危险度是非院感组的13.500倍,归因危险百分比为92.593%;两组患者日均住院费比较无明显差异,但在日均医疗服务费、药费和化验费方面院感组高于非院感组(P<0.05)。结论医院感染对患者住院日和直接经济负担造成了极大的损失,务必持续改进医院感染预防控制质量,切实减轻患者痛苦,降低其经济负担。
OBJECTIVE To explore the influence of nosocomial infection on length of hospital stay and direct economic burden of patients so as to provide data for development of reasonable countermeasures for control of nosocomial infection. METHODS From Jan 2018 to Dec 2018,the patients who were discharged from Tangshan Gongren Hospital, hospitalized for the first time and had the complete major information were recruited as the study objects and divided into the nosocomial infection group and the non-nosocomial infection group according to the diagnostic criteria.A 1:1 case-control study was conducted by means of propensity score matching method, the influence of nosocomial infection on length of hospital stay, total hospitalization cost and average hospitalization cost was observed, and its relationship with extended length of hospital stay and high medical cost was analyzed. RESULTS A total of 497 patients were enrolled in the study, the length of hospital stay of the nosocomial infection group was 6 days longer than that of the non-nosocomial infection group(P<0.05);the nosocomial infection group was 3.815 times the risk of incidence of ultra long hospital stay as the non-nosocomial infection group, the attributable risk percentage was 73.788%.The hospitalization cost of the nosocomial infection group was 26,220 yuan more than that of the non-nosocomial infection group(P<0.05);The medical service cost, medicine cost, medical consumables cost, examination cost and laboratory test cost of the nosocomial infection group were significantly higher than those of the non-nosocomial infection group(P<0.001).The nosocomial infection group was 13.500 times the risk of incidence of high medical cost as the non-nosocomial infection group, and the attributable risk percentage was 92.593%.There was no significant difference in the average daily hospitalization cost between the two groups of patients, however, the average daily medical service cost, medicine cost and laboratory test cost of the nosocomial infection group were signific
作者
刘茜
张洁
施红鑫
LIU Qian;ZHANG Jie;SHI Hong-xin(Tangshan Gongren Hospital,Tangshan,Hebei 063000,China)
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2020年第1期125-129,共5页
Chinese Journal of Nosocomiology
基金
河北省卫生和计划生育委员会科研基金项目(20181271)。
关键词
医院感染
倾向得分匹配法
住院日
住院费
日均住院费
Nosocomial infection
Propensity score matching
Length of hospital stay
Hospitalization cost
Average daily hospitalization cost
