Rare Disorders and Health Outcomes Team, Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA; McKing Consulting Corporation, Atlanta, GA.
Rare Disorders and Health Outcomes Team, Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA.
Arch Phys Med Rehabil. 2019 Aug;100(8):1475-1481. doi: 10.1016/j.apmr.2018.12.033. Epub 2019 Jan 24.
To estimate differences in the length of stay and costs for comparable hospitalizations of patients with spina bifida (SB) with and without pressure injuries.
Retrospective, cross-sectional, observational study.
Nationwide Inpatient Sample from years 2010-2014.
Hospitalizations of patients with SB (N=7776). Hospitalizations among patients with SB and pressure injuries (n=3888) were matched to hospitalizations among patients with SB but without pressure injuries (n=3888).
Not applicable.
Differences in length of stay and total costs between the 2 groups.
After successful matching, multivariate modeling of costs and length of stay on matched sample showed that hospitalizations with pressure injuries had an increased 1.2 inpatient days and excess average costs of $1182 in 2014 dollars.
The estimated average cost of hospitalization increased by 10%, and the estimated average length of stay increased by 24% in the presence of pressure injuries among hospitalized patients with SB, compared with their peers without these injuries. These results highlight the substantial morbidity associated with pressure injuries, which are potentially preventable before or during hospitalizations among persons with SB.
评估伴有和不伴有压力性损伤的脊髓脊膜膨出（SB）患者的住院时间和费用差异。
回顾性、横断面、观察性研究。
2010 年至 2014 年全国住院患者样本。
SB 患者的住院患者（N=7776）。SB 伴压力性损伤患者的住院治疗（n=3888）与 SB 但无压力性损伤患者的住院治疗（n=3888）相匹配。
不适用。
两组间住院时间和总费用的差异。
在成功匹配后，对匹配样本进行成本和住院时间的多变量建模显示，伴有压力性损伤的住院治疗增加了 1.2 天住院时间，2014 年美元的平均额外费用增加了 1182 美元。
与没有这些损伤的同龄人相比，患有 SB 的住院患者中存在压力性损伤，估计的平均住院费用增加了 10%，估计的平均住院时间增加了 24%。这些结果突出了压力性损伤相关的大量发病率，这些发病率在 SB 患者住院前或住院期间是可以预防的。
