神经外科手术部位感染的经济损失
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刘宏

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R181.3+2

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济宁市科技发展计划项目(济科字[2015]57号-126)


Economic loss due to surgical site infection in neurosurgery department
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    摘要:

    目的分析神经外科手术部位感染的直接与间接经济损失。方法采用1∶1配对的病例对照方法回顾性调查某院2014年1月—2015年12月神经外科手术病例,采用中位数进行描述,Wilcoxon配对秩和检验进行比较。结果共纳入24对感染与对照病例。感染组住院总费用(79 066.66元)与对照组(36 139.03元)比较,差异有统计学意义(Z=-3.650,P<0.001)。感染组较对照组西药费每例平均增加21 409.11元(抗菌药物费用为12 049.90元),占每例总增加费用的49.87%。医院因手术部位感染导致平均住院日的延长而间接损失2 569.58元,患者间接损失的误工费为752.05元。每发生一例手术部位感染,平均造成的总经济损失为46 249.26元。结论神经外科手术部位感染延长患者住院日,给医院和患者均造成较大的经济损失。

    Abstract:

    ObjectiveTo analyze the direct and indirect economic loss due to surgical site infection(SSI) in neurosurgery department.MethodsA 1:1 matched casecontrol study was used to investigate patients who underwent neurosurgical operation in a hospital from January 2014 to December 2015, the median was used for description, Wilcoxon ranksum test was used for comparison.ResultsA total of 24 patients with SSI and 24 patients without SSI were included in the study. The total hospitalization expense in infection group was significantly different from that in control group (79 066.66 yuan vs 36 139.03 yuan, Z=-3.650, P<0.001). Compared with control group, the average expense of Western medicine in infection group increased by 21 409.11 yuan per case (expense of antimicrobial agents was 12 049.90 yuan), accounting for 49.87% of the total increased expense in each case. The indirect economic loss of hospital due to prolongation of average length of hospital stay resulting from SSI was 2 569.58 yuan, indirect loss of patient’s charge for loss of working time was 752.05 yuan, the total economic loss caused by SSI was 46 249.26 yuan per case.ConclusionSSI following neurosurgical operation prolongs length of hospital stay of patients, bring economic losses to both hospitals and patients.

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刘宏,贺凤义,马永辉,等.神经外科手术部位感染的经济损失[J]. 中国感染控制杂志,2018,17(7):619-622. DOI:10.3969/j. issn.1671-9638.2018.07.013.
LIU Hong, HE Fengyi, MA Yonghui, et al. Economic loss due to surgical site infection in neurosurgery department[J]. Chin J Infect Control, 2018,17(7):619-622. DOI:10.3969/j. issn.1671-9638.2018.07.013.

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  • 收稿日期:2017-08-16
  • 最后修改日期:2017-10-23
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  • 在线发布日期: 2018-07-28
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