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评估约旦一家教学医院重症监护病房的药物费用。

Evaluating intensive care unit medication charges in a teaching hospital in Jordan.

机构信息

Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology , Irbid , Jordan.

Department of Internal Medicine, Faculty of Medicine, Jordan University of Science and Technology , Irbid , Jordan.

出版信息

Expert Rev Pharmacoecon Outcomes Res. 2019 Oct;19(5):561-567. doi: 10.1080/14737167.2019.1571413. Epub 2019 Jan 28.

Abstract

: Intensive Care Unit (ICU) medication costs contribute to a large portion of the total ICU costs. Evaluating ICU drug expenditures is essential for optimal resource use especially in countries with limited resources. Considering the dearth of data regarding ICU medication expenses in the Middle East, we sought to evaluate ICU medication charges at a large academic hospital in Jordan. : ICU drug charges were extracted from the hospital administration database at King Abdullah University Hospital for 2014-2015 fiscal years (FYs). ICU drug charges were compared to non-ICU drug charges that were incurred during the same patient admissions. ICU medications with the most significant charges were identified. The most frequent diagnoses with the highest ICU medication charges were described. : Average ICU medication charges per day were approximately twice that of non-ICU medication charges ($121.5 versus $55.7 in 2014 and $100.2 versus $52.2 in 2015; p < 0.001 in both FYs). Meropenem and human albumin were the most expensive ICU medications. Drug charge allocation was most expensive for sepsis, motor vehicle accidents and respiratory failure. : Drug charges in the ICU are considerably higher than non-ICU drug charges, thus requiring more vigilant cost containment approaches. Further research is needed to evaluate the appropriateness of expensive ICU medications.

摘要

: 重症加强护理病房(ICU)的药物费用占 ICU 总费用的很大一部分。评估 ICU 药物支出对于优化资源利用至关重要,尤其是在资源有限的国家。考虑到中东地区缺乏关于 ICU 药物支出的数据,我们试图评估约旦一家大型学术医院的 ICU 药物费用。 : ICU 药物费用从 2014-2015 财政年度(FY)的阿卜杜拉国王大学医院的医院管理数据库中提取。将 ICU 药物费用与同一患者入院期间发生的非 ICU 药物费用进行比较。确定了费用最高的 ICU 药物。描述了费用最高的最常见诊断与 ICU 药物。 : ICU 药物的平均每日费用大约是非 ICU 药物费用的两倍(2014 年分别为 121.5 美元和 55.7 美元,2015 年分别为 100.2 美元和 52.2 美元;两个 FY 均<0.001)。美罗培南和人血白蛋白是最昂贵的 ICU 药物。药物费用分配对于败血症、机动车事故和呼吸衰竭最为昂贵。 : ICU 中的药物费用明显高于非 ICU 药物费用,因此需要更严格的成本控制方法。需要进一步研究评估昂贵的 ICU 药物的适当性。

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