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本文引用的文献

1
Current challenges in the management of sepsis in ICUs in resource-poor settings and suggestions for the future.在资源匮乏环境下的 ICU 中脓毒症管理的当前挑战和未来建议。
Intensive Care Med. 2017 May;43(5):612-624. doi: 10.1007/s00134-017-4750-z. Epub 2017 Mar 27.
2
The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3).《脓毒症及脓毒性休克第三次国际共识定义（脓毒症-3）》
JAMA. 2016 Feb 23;315(8):801-10. doi: 10.1001/jama.2016.0287.
3
The direct costs of intensive care management and risk factors for financial burden of patients with severe sepsis and septic shock.重症脓毒症和感染性休克患者重症监护管理的直接成本及经济负担的风险因素。
J Crit Care. 2015 Oct;30(5):929-34. doi: 10.1016/j.jcrc.2015.05.011. Epub 2015 May 20.

越南因脓毒症休克和登革热休克导致灾难性医疗支出。

Catastrophic health care expenditure due to septic shock and dengue shock in Vietnam.

机构信息

Department of Global Health and Infection, Brighton and Sussex Medical School, Falmer, Brighton, England.

Oxford University Clinical Research Unit, 764 Vo Van Kiet, Quan 5, Ho Chi Minh City, Vietnam.

出版信息

Trans R Soc Trop Med Hyg. 2019 Oct 11;113(10):649-651. doi: 10.1093/trstmh/trz064.

DOI:10.1093/trstmh/trz064
PMID:31340045
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6792161/
Abstract

BACKGROUND

The cost of treatment for infectious shock in intensive care in Vietnam is unknown.

METHODS

We prospectively investigated hospital bills for adults treated for septic and dengue shock in Vietnam and calculated the proportion who faced catastrophic health care expenditures.

RESULTS

The median hospital bills were US$617 for septic shock (n=100) and US$57 for dengue shock (n=88). Catastrophic payments were incurred by 47% (47/100) and 13% (11/88) of patients with septic shock and dengue shock, respectively, and 56% (25/45) and 84% (5/6) fatal cases of septic shock and dengue shock respectively.

CONCLUSIONS

Further advocacy is required to moderate insurance co-payments for costly critical care interventions.

摘要

背景

越南重症监护室感染性休克治疗费用尚不清楚。

方法

我们前瞻性地调查了越南成人脓毒症和登革热休克治疗的住院费用，并计算了灾难性医疗支出的比例。

结果

脓毒症休克患者的住院费用中位数为 617 美元（n=100），登革热休克患者为 57 美元（n=88）。分别有 47%（47/100）和 13%（11/88）的脓毒症休克和登革热休克患者需要灾难性支付，分别有 56%（25/45）和 84%（5/6）的脓毒症休克和登革热休克死亡病例需要灾难性支付。

结论

需要进一步倡导适度降低昂贵的重症监护干预的保险共付额。