摘要
目的研究ICU老年患者医院感染所造成的直接经济损失。方法采用回顾性调查和前瞻性监测的方法,调查2004年1月1日-2010年12月31日某省级医院ICU的老年患者,共1152例,按条件1∶1配比,发生医院感染的患者为感染组,未发生医院感染的患者为对照组,比较两组的平均住院总费用、药费和住院天数的差异。结果感染组住院总费用平均为91 710.67元/例,对照组住院总费用平均为32 021.51元/例;医院感染经济学损失平均为59 689.16元/例,感染组显著高于对照组(P<0.05);感染组药费平均为48 717.45元/例,对照组药费平均为14 276.88元/例,增加的药费支出为34 440.57元/例,感染组显著高于对照组(P<0.05);感染组住院天数平均为21.0 d/例,对照组住院天数平均为7.5 d/例,每例延长住院天数13.5 d;感染组显著高于对照组(P<0.05)。结论老年患者是医院感染的高危人群,老年患者医院感染造成的经济损失较大,应采取有效措施,降低老年患者医院感染发生率,减少医院感染经济损失。
OBJECTIVE To evaluate the direct economic losses due to nosocomial infections among the elderly patients in ICU.METHODS Retrospective survey and prospective monitoring methods were conducted among elderly patients in ICU in a provincial hospital from Jan 2004 to Dec 2010,and 1152 cases were collected.According to the conditions of the ratio 1：1,the patients with nosocomial infections were described as the infection group and the patients without nosocomial infections were described as control group.The total hospitalization expenses,cost of medicine and hospitalization duration between the two groups were compared.RESULTS The total hospitalization expenses of each case were 91 710.67 yuan in the infection group and 32 021.51 yuan in the control group.The average economic losses of nosocomial infection was 59 689.16 Yuan and the infection group was significantly higher than the control group（P〈0.05）.Due to the treatment of infection,the average cost of medicine of the infection group and the control group were 48 717.45 yuan and 14 276.88 yuan;the increased costs of each patient were 34 440.57 yuan and the infection group was significantly higher than the control group（P〈0.05）;the average hospitalization duration of the infection group was 21.0 days and the average hospitalization duration of the control group was 7.5 days;the prolonged hospitalization duration of each patient was 13.5 days,the infection group was significantly higher than the control group（P〈0.05）.CONCLUSION The elderly patients are the high risk group of nosocomial infections and the economic losses due to nosocomial infections among elderly patients are large.Effective measures should be taken to reduce the incidence of nosocomial infections among the elderly patients and economic losses due to nosocomial infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第10期2033-2035,共3页
Chinese Journal of Nosocomiology
基金
山东省科技厅科技攻关计划项目(2007GG10002009)
