ICU不同疾病医院感染的经济学损失评价  

Evaluation of economic losses caused by nosocomial infection with various diseases in ICU

作　　者：王书会[1] 于子旭[2] 邓钰[3] 姚琳[4] 王海燕[1] 王一瑶[1] 

机构地区：[1]山东大学齐鲁医院感染管理科,山东济南250012 [2]山东大学附属省立医院护理部,山东济南250021 [3]山东大学附属省立医院儿外科,山东济南250021 [4]北京中日友好医院内科病房,北京100029

出　　处：《中华医院感染学杂志》2012年第2期343-346,共4页Chinese Journal of Nosocomiology

基　　金：山东省科技攻关计划资助项目(2007GG10002009)

摘　　要：目的研究ICU住院患者因医院感染所造成的直接经济损失,分析不同疾病种类住院患者医院感染的直接经济损失。方法采用回顾性调查和前瞻性监测的方法,调查2004年1月-2010年12月某三级甲等医院综合性ICU的住院患者,共收集病例2060例,按条件1∶1配比,发生医院感染的患者为病例组,未发生医院感染的患者为对照组,比较两组患者住院费用的差异。结果 ICU医院感染经济损失排在前3位的疾病种类为循环系统疾病、消化系统疾病和复合伤,循环系统疾病患者的医院感染经济学损失为73 586.67元;消化系统疾病患者的医院感染经济学损失为73 536.78元;复合伤患者的医院感染经济学损失为52 942.00元,病例组与对照组差异均有统计学意义(P<0.05)。结论 ICU患者医院感染显著增加了医疗费用支出,做好ICU医院感染防控工作,能有效降低医院感染率,使医院获得更大的社会和经济效益。OBJECTIVE To evaluate the direct economic losses caused by nosocomial infections of inpatients in ICU and inpatients with different diseases.METHODS The retrospective investigation and prospective monitoring were adopted.From Jan.2004 to Dec.2010,a total of 2060 inpatients in comprehensive ICU of a tertiary hospital were collected.According to ratio 1∶1,the patients with infections were set as infection group,and the patients without infections were set as control group.The hospitalization costs of the two groups were compared.RESULTS The direct economic loss caused by nosocomial infections in ICU patients with circulatory system diseases（73 586.67 yuan） ranked the first,followed by patients with digestive system diseases（73 536.78 yuan） and complex trauma（52942.00 yuan）.The difference between the infection group and control group was statistically significant（P〈0.05）.CONCLUSION Nosocomial infections in ICU inpatients during hospitalization cause significant increase in the medical expense.Do a good job of preventing nosocomial infections in ICU can reduce the infection rate and enable the hospital obtain greater social and economic benefits.

关 键 词：重症监护病房 医院感染 疾病种类 经济损失 

分 类 号：R197.323[医药卫生—卫生事业管理]