剖胸术后手术部位感染的直接经济损失评价 FREE

Direct economic cost of surgical site infection of postthoracotomy incision FREE

摘要:

目的了解剖胸术后手术部位感染的直接经济损失。方法回顾性调查剖胸手术患者出院病历，对手术部位感染（病例组）与同期住院未感染的手术患者（对照组）按1∶1配比法进行剖胸术后手术部位感染的直接经济损失研究。结果病例组的住院费用中位数为25 911.70元，对照组为19 899.75元，前者显著高于后者（t=5.67，P=0.00）；病例组住院日中位数为32.50 d，对照组为19.50 d，延长13 d，两组差异有高度显著性（t=10.02，P=0.00）。结论手术部位感染大大增加了医疗费用支出，延长了住院日。我们应增加医院感染预防控制的投入以减少医院感染发生率及其所致的经济损失。

关键词:

胸外科手术;手术部位感染;切口感染;医院感染;经济损失;卫生经费支出

Abstract:

ObjectiveTo realize direct economic cost of surgical site infection(SSI) of postthoracotomy incision. MethodsA retrospective study was conducted,1:1 match case control method was adopted to analyze direct economic cost of SSI of postthoracotomy incision in patients with SSI (case group) and without SSI (control group).  ResultsThe median of cost of hospitalization stay were 25 911.70 and 19 899.75 RMB in  case and control group respectively, the former was significantly higher than that of the latter (t=5.67, P=0.00).The median of length of  hospital stay were 32.50 and 19.50 days in case and  control group respectively,excess hospital stay were 13 days, there was significant difference between the two groups（t=10.02, P=0.00）. ConclusionSSI significantly increase medical cost and prolong length of hospital stay. Effect on infection control should be enhanced to reduce SSI rates.

Key words:

thoracic surgical procedures; surgical site infection; incisional infection;nosocomial infection;economic cost;health expenditures