牙源性深部颈部间隙感染代价高昂且可预防。
Deep neck space infections of odontogenic origin are costly and preventable.
机构信息
Clinic of General Dentistry Järntorget, Public Dental Service, Region Västra Götaland, Gothenburg, Sweden; Department of Oral and Maxillofacial Radiology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Otorhinolaryngology, Head & Neck Surgery, Institute of Clinical Sciences, Sahlgrenska University Hospital, University of Gothenburg, Gothenburg, Sweden; Department of Otorhinolaryngology, Head & Neck Surgery, Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden.
出版信息
Acta Odontol Scand. 2024 Sep 9;83:469-474. doi: 10.2340/aos.v83.41382.
OBJECTIVE
Deep neck space infections (DNSI), caused by the spread of an odontogenic infection to the floor of the mouth and neck, are potentially life-threatening but preventable. We explored the total cost of illness (COI) for patients with DNSI of odontogenic origin.
MATERIAL AND METHODS
Cross-sectional, register-based, multi-centre study of the health economics of DNSI treatment. Included were patients aged > 18 years who were treated in hospital for DNSI of odontogenic origin. Subjects were identified from the regional healthcare database VEGA based on the International Classification of Diseases (ICD) codes and surgical procedure codes. The cost per patient (CPP) values for the hospital care, prescription medications and sick leave were extracted.
RESULTS
In total, 148 patients were included. The average length of the hospital stay was 6 days. Total COI was estimated as 15,400 EUR per patient and 2,280,000 EUR in total. Direct costs accounted for 93% of the COI, and indirect costs were 7%.
CONCLUSION
The total COI for patients with DNSI of odontogenic origin was six-fold higher than the average COI for patients in otorhinolaryngology (ORL) care. Preventing DNSI will entail substantial cost savings for the specialised healthcare units and will have a significant impact on the patients.
目的
深部颈间隙感染（DNSI）由牙源性感染扩散至口底和颈部引起，具有潜在的致命风险，但可预防。我们研究了牙源性来源的 DNSI 患者的总疾病负担（COI）。
材料和方法
这是一项 DNSI 治疗的卫生经济学的横断面、基于登记的多中心研究。纳入标准为年龄>18 岁、因牙源性 DNSI 而在医院接受治疗的患者。根据国际疾病分类（ICD）代码和手术程序代码，从区域医疗保健数据库 VEGA 中确定研究对象。提取每位患者（CPP）的住院护理、处方药物和病假费用。
结果
共纳入 148 例患者。平均住院时间为 6 天。每位患者的总 COI 估计为 15400 欧元，总费用为 228 万欧元。直接成本占 COI 的 93%，间接成本占 7%。
结论
牙源性来源的 DNSI 患者的总 COI 是耳鼻喉科（ORL）护理患者平均 COI 的六倍。预防 DNSI 将为专科医疗单位节省大量成本，并将对患者产生重大影响。
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