重度烧伤患者的成本分析及影响因素
Cost Analysis and Influencing Factors Amongst Severe Burn Patients.
作者信息
Lam N N, Hung N T, Khanh N N
机构信息
Le Huu Trac National Burn Hospital, Viet Nam.
Medical Military University, Viet Nam.
出版信息
Ann Burns Fire Disasters. 2023 Sep 30;36(3):183-188. eCollection 2023 Sep.
Abstract
This study analyzed the structure and determined the factors affecting the cost of treatment of severe burns patients. The results showed that the average total costs for a patient was 3275.9 USD. The daily cost of hospitalization was 113.3 USD, the treatment cost for 1% burn surface area was 109.5 USD with the highest proportion for medication and consumable medical equipment (43.2%), followed by surgery and procedures (30.2%). The treatment costs increased with increasing age, burn extent and deep burn area (p < .05) and were significantly higher in the group of patients with inhalation injury, electrical burns and in non-survivors (p < .01). Multivariate regression analysis found that burn extent, deep burn area and inhalation injury independently influenced the treatment cost of burn patients.
摘要
本研究分析了重度烧伤患者的治疗费用结构并确定了影响因素。结果显示，一名患者的平均总费用为3275.9美元。住院每日费用为113.3美元，每1%烧伤面积的治疗费用为109.5美元，其中药物和消耗性医疗设备所占比例最高（43.2%），其次是手术及操作（30.2%）。治疗费用随年龄、烧伤程度和深度烧伤面积的增加而增加（p<0.05），且在吸入性损伤、电烧伤患者组及非存活患者中显著更高（p<0.01）。多因素回归分析发现，烧伤程度、深度烧伤面积和吸入性损伤独立影响烧伤患者的治疗费用。
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