急诊观察单元治疗模式对慢性充血性心力衰竭急性加重期治疗成本和疗效的影响  

Therapeutic pattern of emergency observation unit on variance of cost-effectiveness among patients with worse chronic congestive heart failure

作　　者：林惠文[1] 陈凤莲[1] 曾惠洁[1] 

机构地区：[1]广东省江门市中心医院急诊科,529070

出　　处：《中国实用医药》2014年第23期30-32,共3页China Practical Medicine

摘　　要：目的探讨慢性充血性心力衰竭(CCHF)急性加重期适合于基层急诊医疗单位的最佳治疗模式。方法 102例CCHF急性加重患者为研究对象,比较急诊观察单元标准化治疗患者(急诊组)和心内科住院患者(对照组)的治疗效果、住院天数、30 d及90 d再住院率、治疗总成本、间接成本与直接成本的比例等方面的差异。结果与对照组相比,急诊组的住院天数、总成本及间接成本与直接成本的比例明显下降,差异有统计学意义(P<0.01),治疗显效率、有效率和30 d、90 d再住院率,差异无统计学意义(P>0.05)。结论急诊观察单元标准化治疗模式,不仅可以缩短住院时程,还可节省医疗费用,是提高患者依从性的有效办法。Objective To investigate the optimal therapeutic pattern on the patients with worse chronic congestive heart failure（CCHF） in emergency department of primary hospital.Methods Divided 102 CCHF patients into two subgroups. One group was managed by the standardized emergent treatment as emergency group, the other group received the normal hospitalized method as control group. Data of these two subgroups： effective outcome, duration of hospital stay, percentage of re-hospitalized after 30 days or 90 days, total treatment cost, radio between direct cost and indirect cost were compared.Results Compared with control group, emergency group showed a shorter duration of hospital stay, reduced total treatment cost and a smaller radio between direct cost and indirect cost significantly（P〈0.01）. However, there were no significant differences in effective outcome and percentage of re-hospitalized after 30 days or 90 days（P〉0.05）.Conclusion By standardized emergent therapeutic pattern, we can not only shorter duration of hospital stay, but also cut down the treatment cost to improve the compliance of CCHF patients.

关 键 词：基层医院 急诊运行模式 充血性心力衰竭 成本-疗效 

分 类 号：R541.6[医药卫生—心血管疾病]