出血性脑卒中手术患者医院感染直接经济负担分析  

Direct economic burden of hemorrhagic stroke patients due to nosocomial infection

作　　者：李亚婷[1,2] 孟葳 杜金阁 宋甜田 王书会 LI Ya-ting;MENG Wei;DU Jin-ge;SONG Tian-tian;WANG Shu-hui(Qilu Hospital of Shandong University,Jinan,Shandong 250012,China;不详)

机构地区：[1]山东大学齐鲁医院感染管理处,山东济南250012 [2]山东大学护理学院,山东济南250012

出　　处：《中华医院感染学杂志》2020年第6期884-887,共4页Chinese Journal of Nosocomiology

基　　金：山东省自然科学基金资助项目(ZR2018MG015)。

摘　　要：目的调查出血性脑卒中手术患者医院感染直接经济负担。方法对2016年1月1日-2018年12月31日收治在齐鲁医院的出血性脑卒中手术患者开展医院感染目标性监测,收集整理患者的人口学资料、临床病程、医院感染相关信息、住院费用等资料。同时,按照是否发生医院感染作为分组依据,对感染组患者和非感染组患者进行1∶1病例对照匹配,运用秩和检验比较两组患者的住院费用和住院天数。结果本研究共纳入符合条件的出血性脑卒中手术患者531例,187例患者发生医院感染,医院感染率为35.22%。感染组患者住院总费用中位数为125 793.42元,对照组患者住院总费用中位数为80 020.38元,因医院感染所致患者经济负担为45 773.04元(Z=-5.695,P<0.001)。在住院时间上,医院感染组患者住院时间中位数是19.00 d,非医院感染组患者住院时间中位数为12.00 d,患者由于医院感染延长的住院天数为7.00 d,感染组和非感染组住院天数比较,差异具有统计学意义(P<0.001)。结论医院感染会增加出血性脑卒中患者医疗费用,延长住院时间,加重患者经济负担。OBJECTIVE To investigate the direct economic burden of the hemorrhagic stroke patients due to nosocomial infection. METHODS The targeted surveillance of nosocomial infection was conducted for the hemorrhagic stroke patients who were treated in Qilu Hospital of Shandong University from Jan 1, 2016 to Dec 31, 2018. The data of the patients, including demographic data, clinical course of disease, nosocomial infection-related data and hospitalization cost, were collected. The patients were divided into the infection group and the non-infection group according to the status of nosocomial infection, a 1∶1 case control matching was carried out for the two groups, and the hospitalization cost and length of hospital day were compared between the two groups of patients by using rank sum test. RESULTS Of totally 531 hemorrhagic stroke patients who were eligible for the inclusion criteria, 187 had nosocomial infection, with the incidence of nosocomial infection 35.22%. The median of total hospitalization cost was 125 793.42 yuan in the infection group, 80 020.38 yuan in the control group, the economic burden due to nosocomial infection was 45 773.04 yuan(Z=-5.695, P<0.001). The median of length of hospital stay was 19.00 days in the infection group, 12.00 days in the control group, the extended length of hospital stay due to nosocomial infection was 7.00 days, and there was significant difference in the length of hospital stay between the infection group and the non-infection group(P<0.001). CONCLUSION The nosocomial infection may lead to the increase of medical cost, extension of the length of hospital stay and increase of economic burden of the hemorrhagic stroke patients.

关 键 词：出血性脑卒中 医院感染 经济负担 

分 类 号：R743[医药卫生—神经病学与精神病学]