Department of respiratory, General Hospital of Northern Theater Command, Shenyang, China.
PeerJ. 2023 Apr 12;11:e15106. doi: 10.7717/peerj.15106. eCollection 2023.
Pulmonary abscess carries a high mortality and requires long-term managements. A better understanding of the risk factors associated with the prolonged hospital stay and high medical expenses in these patients can improve the management strategy in individual patient and optimize the overall healthcare resources.
We performed a retrospective study and reviewed the medical records on consecutive patients hospitalized at the Department of Respiratory Medicine of the General Hospital of Northern Theater Command, Shenyang, Liaoning, China, between January 1, 2015, and December 31, 2020. Demographics, comorbidity, clinical symptoms, laboratory tests, length of hospital stay, and medical expenses were recorded. Their relationships with the length of hospital stay and medical expenses in pulmonary abscess patients were analyzed.
There were 190 patients with the pulmonary abscess and 12,189 patients without the pulmonary abscess. Compared with patients without the pulmonary abscess, patients with the pulmonary abscess had longer hospital stays (21.8 ± SD 12.8 ± SD, < 0.01), In patients with the pulmonary abscess, the mean length of hospital stay was 5.3 days longer in male female patients ( = 0.025). Multivariate linear regression analyses showed that extrapulmonary disease and clinical symptoms were associated with the length of hospital stay and medical expenses, respectively. In addition, anemia was associated with both the length of hospital stay and medical expenses. Sex and hypoproteinemia were associated with the medical expenses.
The mean length of hospital stay was longer in patients with the pulmonary abscess than those without the pulmonary abscess. The length of hospital stay and medical expense were associated with sex, clinical symptoms, extrapulmonary disease, and abnormal laboratory tests in patients with the pulmonary abscess.
肺脓肿患者的死亡率较高，需要长期治疗。更好地了解与这些患者住院时间延长和医疗费用高相关的风险因素，可以改善个体患者的管理策略，并优化整体医疗资源的利用。
我们进行了一项回顾性研究，回顾了 2015 年 1 月 1 日至 2020 年 12 月 31 日期间在中国沈阳北部战区总医院呼吸内科住院的连续患者的病历。记录了人口统计学、合并症、临床症状、实验室检查、住院时间和医疗费用，并分析了它们与肺脓肿患者住院时间和医疗费用的关系。
共有 190 例肺脓肿患者和 12189 例无肺脓肿患者。与无肺脓肿患者相比，肺脓肿患者的住院时间更长（21.8 ± 12.8 天，<0.01）。在肺脓肿患者中，男女患者的平均住院时间相差 5.3 天（=0.025）。多变量线性回归分析表明，肺外疾病和临床症状分别与住院时间和医疗费用有关。此外，贫血与住院时间和医疗费用均有关。性别和低蛋白血症与医疗费用有关。
肺脓肿患者的平均住院时间长于无肺脓肿患者。肺脓肿患者的住院时间和医疗费用与性别、临床症状、肺外疾病和异常实验室检查有关。
