医源性胆管损伤——成本分析。
Iatrogenic bile duct injury--a cost analysis.
机构信息
Department of Surgery, Clinical Sciences Lund, Lund University Hospital, Lund, Sweden.
出版信息
HPB (Oxford). 2008;10(6):416-9. doi: 10.1080/13651820802140745.
INTRODUCTION
Iatrogenic bile duct lesions following cholecystectomy represent a feared complication occurring in up to 0.9%. The aim of the present study was to estimate the total cost associated with both minor and major bile duct injuries.
MATERIAL AND METHODS
Detailed information on 24 consecutive patients, out of which 14 were considered to have minor and 10 patients considered as having major bile duct injury, provided the underlying information that rendered calculations on average individual costs for both groups of injuries.
RESULTS AND DISCUSSION
Calculating individual costs for minor and major bile duct injuries with actual incidences of cholecystectomies performed and the incidence of iatrogenic bile duct injury demonstrated that the total costs, including in-hospital cost, sick leave and loss of production, were substantial. For the management of minor bile duct injuries costs were within the range of 136,787-159,585 EUR and for the management of major bile duct injuries from 336,903-449,204 EUR per million inhabitants and year. The total costs for the management of all types of bile duct injuries were thus within the range of 473,690-608,789 EUR per million inhabitants annually for the society.
简介
胆囊切除术后医源性胆管损伤是一种令人担忧的并发症，其发生率高达 0.9%。本研究旨在评估与胆管损伤相关的所有费用，包括轻微和严重胆管损伤。
材料和方法
详细信息来自 24 例连续患者，其中 14 例被认为有轻微胆管损伤，10 例被认为有严重胆管损伤，为计算两组损伤的平均个人成本提供了基础信息。
结果和讨论
根据实际胆囊切除术的发生率和医源性胆管损伤的发生率计算轻微和严重胆管损伤的个人成本表明，包括住院费用、病假和生产损失在内的总费用相当可观。对于轻微胆管损伤的管理，费用在 136787-159585 欧元之间，对于严重胆管损伤的管理，费用在 336903-449204 欧元之间。因此，对于所有类型胆管损伤的管理，每年每个居民的总费用在 473690-608789 欧元之间，这是对社会的总费用。
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