Çağlar İlknur, Kafes Cansu, Korcum Mine, Düzgöl Mine, Kara Ahu, Bayram Süleyman Nuri, Apa Hurşit, Devrim İlker
Department of Pediatric Infectious Diseases, Dr. Behçet Uz Children's Hospital, İzmir, Turkey.
Int J Pediatr Otorhinolaryngol. 2018 Mar;106:96-99. doi: 10.1016/j.ijporl.2018.01.007. Epub 2018 Feb 2.
Hospitalization of the children with preseptal cellulitis creates a burden on healthcare costs. This study aimed to analyze the hospital costs for preseptal cellulitis and determine the factors contributing.
Children, between 1 and 18 years old, who were admitted to hospital for preseptal cellulitis from May 2013 to December 2016 were included in the study. Patients were divided into groups by age (under or equal to five years and older than five years) and by the presence of sinusitis. Demographics, length of stay and total and categorical hospital costs were evaluated retrospectively.
The study included 54 patients with a mean age of 5 years. Thirty one of the patients were under five years of age. The most common symptoms were swelling (94.4%) and redness (83.3%) around eye. Among the predisposing factors, sinusitis was the most common one (37%). The average length of stay was 4.5 days. Total hospital cost of all patients was $11,841. Antibiotic costs (37%) and inpatient floor costs (36%) were the greatest expenditures. Between age groups, length of stay was longer, and inpatient floor and antibiotic costs were significantly higher in the group of >5 years (p = 0.007, p = 0.004 and p = 0.001, respectively). In the group with sinusitis, length of stay was longer, and all hospital costs were significantly higher compared to the group without sinusitis (p < 0.001). There was a strong, positive correlation between length of stay and hospital costs (r = 0.854, n = 53, p < 0.001). Sinusitis was a significant factor (p < 0.001) for longer length of stay, but age was not (p = 0.841).
Sinusitis was found to be an important factor contributing to longer length of stay and higher hospital costs for preseptal cellulitis. Oral or ambulatory intravenous antimicrobial treatment strategies might decrease the hospital expenditure in these patients; however care should be taken in the presence of sinusitis.
眶隔前蜂窝织炎患儿住院会增加医疗费用负担。本研究旨在分析眶隔前蜂窝织炎的住院费用并确定相关影响因素。
纳入2013年5月至2016年12月因眶隔前蜂窝织炎入院的1至18岁儿童。患者按年龄（5岁及以下和5岁以上）和是否患有鼻窦炎分组。回顾性评估人口统计学资料、住院时间以及总的和分类的住院费用。
该研究纳入了54例患者，平均年龄为5岁。其中31例患者年龄在5岁以下。最常见的症状是眼部周围肿胀（94.4%）和发红（83.3%）。在诱发因素中，鼻窦炎最为常见（37%）。平均住院时间为4.5天。所有患者的总住院费用为11,841美元。抗生素费用（37%）和住院病房费用（36%）是最大的支出。在不同年龄组中，5岁以上组的住院时间更长，住院病房和抗生素费用显著更高（分别为p = 0.007、p = 0.004和p = 0.001）。在患有鼻窦炎的组中，住院时间更长，与无鼻窦炎组相比，所有住院费用均显著更高（p < 0.001）。住院时间与住院费用之间存在强正相关（r = 0.854，n = 53，p < 0.001）。鼻窦炎是住院时间延长的一个重要因素（p < 0.001），但年龄不是（p = 0.841）。
发现鼻窦炎是导致眶隔前蜂窝织炎住院时间延长和住院费用增加的一个重要因素。口服或门诊静脉抗菌治疗策略可能会降低这些患者的住院费用；然而，存在鼻窦炎时应谨慎。
