烧伤护理管理中医用费用的成本驱动因素。
Cost-drivers of medical expenses in burn care management.
作者信息
Tsai Shin-Yi, Lio Chon-Fu, Yao Wei-Cheng, Liu Chang-Pan, Shih Shou-Chuan, Wang Tina Yu-Ting, Leong Kam-Hang, Sun Fang-Ju, Kuo Chien-Feng
机构信息
Department of Laboratory Medicine, Mackay Memorial Hospital, Taipei City, Taiwan; Department of Medicine, Mackay Medical College, New Taipei City, Taiwan; Graduate Institute of Long-Term Care, Mackay Medical College, New Taipei City, Taiwan; Graduate Institute of Biomedical Sciences, Mackay Medical College, New Taipei City, Taiwan; Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, United States.
Department of Laboratory Medicine, Mackay Memorial Hospital, Taipei City, Taiwan.
出版信息
Burns. 2020 Jun;46(4):817-824. doi: 10.1016/j.burns.2020.01.004. Epub 2020 Apr 12.
BACKGROUND
Profound differences exist in the cost of burn care globally, thus we aim to investigate the affected factors and to delineate a strategy to improve the cost-effectiveness of burn management.
METHODS
A retrospective analysis of 66 patients suffering from acute burns was conducted from 2013 to 2015. The average age was 26.7 years old and TBSA was 42.1% (±25.9%). We compared the relationship between cost and clinical characteristics.
RESULTS
The estimated cost of acute burn care with the following formula (10,000 TWD) = -19.80 + (2.67 × percentage of TBSA) + (124.29 × status of inhalation injury) + (147.63 × status of bacteremia) + (130.32 × status of respiratory tract infection).
CONCLUSION
The majority of the cost were associated with the use of antibiotics and burns care. Consequently, it is crucial to prevent nosocomial infection in order to promote healthcare quality and reduce in-hospital costs.
背景
全球烧伤护理成本存在巨大差异，因此我们旨在调查影响因素并制定提高烧伤管理成本效益的策略。
方法
对2013年至2015年66例急性烧伤患者进行回顾性分析。平均年龄26.7岁，烧伤总面积为42.1%（±25.9%）。我们比较了成本与临床特征之间的关系。
结果
急性烧伤护理的估计成本用以下公式表示（新台币万元）=-19.80 +（2.67×烧伤总面积百分比）+（124.29×吸入性损伤状况）+（147.63×菌血症状况）+（130.32×呼吸道感染状况）。
结论
大部分成本与抗生素使用和烧伤护理有关。因此，预防医院感染对于提高医疗质量和降低住院成本至关重要。
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