Bennett S J, Saywell R M, Zollinger T W, Huster G A, Ford C E, Pressler M L
Indiana University, Indianapolis, USA.
Heart Lung. 1999 Mar-Apr;28(2):102-9. doi: 10.1053/hl.1999.v28.a96420.
To determine the cost of heart failure-related hospital admissions and to compare the cost of admissions for sodium retention with the cost of admissions for other decompensating factors.
Retrospective, non-experimental, cost analysis.
Midwestern university-affiliated, tertiary care, medical center.
Two hundred seven heart failure-related admissions, 117 (57%) of which were for sodium retention leading to volume overload.
Cost of hospitalization.
Data obtained from the patient and financial records of patients hospitalized for heart failure in 1992 were analyzed using the ratio of cost-to-charge accounting procedure.
The total cost was $2,442,720 for the 207 heart failure-related admissions; the average cost was $12,400 per admission. Approximately half of the cost of the hospitalizations was expended in the 4 cost centers comprising routine and critical care services, which incorporate room charges and nursing care. Another one third of the cost was for supplies, medications, and laboratory tests. Admissions as a result of sodium retention had lower costs than admissions as a result of other factors.
The cost of hospitalization for heart failure is high. Routine services, supplies, medications, and laboratory tests used by these patients contribute to the high cost of care. Improved outpatient management strategies are necessary to reduce hospital admissions as a result of sodium retention.
确定与心力衰竭相关的住院费用，并比较因钠潴留导致的住院费用与因其他失代偿因素导致的住院费用。
回顾性、非实验性成本分析。
中西部大学附属三级医疗中心。
207例与心力衰竭相关的住院病例，其中117例（57%）是因钠潴留导致容量超负荷。
住院费用。
使用成本与收费核算程序分析1992年因心力衰竭住院患者的病历和财务记录所获得的数据。
207例与心力衰竭相关的住院病例总费用为2,442,720美元；平均每次住院费用为12,400美元。住院费用的大约一半用于包括病房费用和护理服务在内的常规和重症护理服务这4个成本中心。另外三分之一的费用用于耗材、药物和实验室检查。因钠潴留导致的住院费用低于因其他因素导致的住院费用。
心力衰竭的住院费用很高。这些患者使用的常规服务、耗材、药物和实验室检查导致了高昂的护理费用。需要改进门诊管理策略以减少因钠潴留导致的住院。
