Vassilev Zdravko P, Marcus Steven M
New Jersey Poison Information and Education System, Newark, New Jersey 07107, USA.
J Toxicol Environ Health A. 2007 Jan 15;70(2):107-10. doi: 10.1080/15287390600755042.
While previous research suggests that poison control centers (PCCs) significantly reduce the number of emergency room visits and resultant health care costs for poisonings, little is known regarding the potential impact of the PCC on the length of hospital stay. The aim of this study was to examine whether assistance from a PCC is associated with a shorter length of hospital stay for patients admitted with poisonings. The cases reported to our PCC were matched over a period of 1 yr with the hospital admissions E-coded as poisonings in the Uniform Billing (UB) data maintained by the state health department. The length of hospital stay was then compared between the cases for which a PCC provided assistance (matches) and the cases for which a PCC was not contacted. During the study period, there were 32,245 hospitalizations for poisoning in the UB data and 52,498 poisonings reported to the PCC. The matching process yielded 1719 nonfatal cases. The length of hospital stay for patients who received assistance from a PCC ranged from 0 to 126 d (median = 2.0) and was significantly different compared to a range of 0 to 220 days (median = 5.0) for cases that were never called in to a PCC. The results of this study suggest that patients admitted to hospitals with poisonings who receive PCC assistance have measurable reductions in average hospital stay. Such a decrease may translate into substantial savings in health care costs and resources.
虽然先前的研究表明,中毒控制中心(PCC)能显著减少急诊室就诊次数以及中毒导致的医疗费用,但对于PCC对住院时间的潜在影响却知之甚少。本研究的目的是检验PCC的协助是否与中毒入院患者较短的住院时间相关。向我们的PCC报告的病例在1年的时间内与州卫生部门维护的统一计费(UB)数据中编码为中毒的医院入院病例进行匹配。然后比较PCC提供协助的病例(匹配病例)和未联系PCC的病例的住院时间。在研究期间,UB数据中有32245例中毒住院病例,向PCC报告了52498例中毒病例。匹配过程产生了1719例非致命病例。接受PCC协助的患者住院时间为0至126天(中位数=2.0),与从未联系过PCC的病例的0至220天(中位数=5.0)范围相比有显著差异。本研究结果表明,中毒入院并接受PCC协助的患者平均住院时间有明显缩短。这种缩短可能会转化为医疗费用和资源的大幅节省。