School of Economics and Management, Beijing University of Posts and Telecommunications, Beijing 102209, China.
Chin Med J (Engl). 2010 Oct;123(19):2635-9.
Syncope is a common clinical problem with multiple causes. Vasovagal syncope (VVS) is by far the most frequent cause of syncope in children and adolescents. The traditional diagnostic approach to VVS of children and adolescents is based on a series of tests to exclude all other causes, which is complex and time and medical resource consuming. Attempts have been made to develop a new cost-effective diagnostic approach to avoid these problems. This study aimed to compare the economic effectiveness and diagnostic value of the traditional diagnostic approach to VVS of children with a new diagnostic approach.
One hundred and eighteen children diagnosed as VVS were divided into two groups according to the different diagnostic approaches. The diagnostic value of the two diagnostic approaches was then analyzed. Meanwhile, the costs of hospitalization, diagnostic testing and hospital stay were determined. Data were evaluated by the cost-minimization analysis.
The diagnostic value of the new diagnostic approach was similar to that of the traditional diagnostic approach (56.57% vs. 53.91%, P = 0.697). However, the cost of hospitalization per patient by the new diagnostic approach was (1507.08 ± 144.63) Yuan (RMB) which was less than that of the traditional diagnostic approach (2603.64 ± 208.19) Yuan. The costs of diagnostic tests per patient by the new diagnostic approach was (1256.04 ± 109.14) Yuan and by the traditional approach (2175.22 ± 153.32) Yuan.
Compared to the traditional diagnostic approach to diagnose VVS in children and adolescents, the new diagnostic approach is of a good economic value, and it should be popularized in clinical practice.
晕厥是一种常见的临床问题，有多种原因。血管迷走性晕厥（VVS）是迄今为止儿童和青少年晕厥最常见的原因。儿童和青少年 VVS 的传统诊断方法基于一系列排除其他所有原因的测试，这种方法复杂且耗时耗力。人们已经尝试开发一种新的具有成本效益的诊断方法来避免这些问题。本研究旨在比较传统诊断方法与新诊断方法对儿童 VVS 的经济有效性和诊断价值。
根据不同的诊断方法，将 118 例诊断为 VVS 的儿童分为两组。然后分析两种诊断方法的诊断价值。同时，确定住院、诊断测试和住院费用。通过成本最小化分析评估数据。
新诊断方法的诊断价值与传统诊断方法相似（56.57%比 53.91%，P=0.697）。然而，新诊断方法的每位患者住院费用为 1507.08±144.63 元，低于传统诊断方法的 2603.64±208.19 元。新诊断方法每位患者的诊断测试费用为 1256.04±109.14 元，传统诊断方法为 2175.22±153.32 元。
与传统的儿童和青少年 VVS 诊断方法相比，新的诊断方法具有良好的经济价值，应在临床实践中推广。
