Human Engineering Research Laboratories, University of Pittsburgh and Department of Veterans Affairs and Adult Spina Bifida Clinic, Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA, USA.
Arch Phys Med Rehabil. 2010 Apr;91(4):529-35. doi: 10.1016/j.apmr.2009.11.023.
To examine hospital admission records from a large cohort of persons with spina bifida (SB) with a variety of insurers to provide descriptive detail about adult hospital use for persons with SB and associated disorders in terms of primary diagnosis for hospitalization, age, sex, payer source, lengths of stay, and total charges.
Retrospective secondary data analysis from the Nationwide Inpatient Sample (NIS) from the Healthcare Cost and Utilization Project for 2004 and 2005 of hospitalizations for adults with SB or associated spinal cord anomalies.
Records from U.S. inpatient hospital admissions.
Persons with SB age 18 years and older.
Not applicable.
Diagnoses associated with hospitalizations and death.
The most common primary diagnosis for hospitalization was urinary tract infection, followed by complications from devices/grafts/implants and skin wounds. Sepsis accounted for the most deaths. Approximately one third of hospitalizations were for primary diagnoses of potentially preventable conditions. Hospitalizations associated with a primary diagnosis of a potentially preventable condition occurred most often in those less than 51 years of age and in rural or urban nonteaching hospitals.
Reducing the number of secondary medical conditions with proactive and preventative approaches to health care could reduce the morbidity, mortality, and cost for health care for this group.
通过对一组患有不同保险的脊髓裂（SB）患者的住院记录进行检查，提供有关 SB 患者和相关疾病的成人住院使用情况的详细描述，包括住院的主要诊断、年龄、性别、支付方来源、住院时间和总费用。
利用医疗保健成本和利用项目 2004 年和 2005 年全国住院患者样本（NIS）的回顾性二次数据分析，研究成人 SB 或相关脊髓畸形患者的住院情况。
美国住院患者的记录。
年龄在 18 岁及以上的 SB 患者。
不适用。
与住院和死亡相关的诊断。
最常见的住院主要诊断是尿路感染，其次是设备/移植物/植入物和皮肤伤口并发症。败血症导致的死亡人数最多。约三分之一的住院是由于潜在可预防疾病的主要诊断。与潜在可预防疾病的主要诊断相关的住院治疗最常发生在年龄小于 51 岁的患者和农村或城市非教学医院。
通过积极主动的预防保健方法减少继发性疾病的数量，可以降低该人群的发病率、死亡率和医疗保健成本。
