心脏外科患者医院感染直接经济损失的配比病例对照研究  

A Matched Case-control Study on the Direct Economic Loss of Nosocomial Infection in Cardiac Surgery Patients

作　　者：杨俊林 查筑红 唐萍 邹莉 YANG Jun-lin;ZHA Zhu-hong;TANG Ping;ZOU Li(Department of Hospital Infection Management,The Affiliated Hospital of Guizhou Medical University,Guiyang,Guizhou Province,550004 China;Medical Insurance Department,Affiliated Hospital of Guizhou Medical University,Guiyang,Guizhou Province,550004 China)

机构地区：[1]贵州医科大学附属医院医院感染管理科,贵州贵阳550004 [2]贵州医科大学附属医院医保处,贵州贵阳550004

出　　处：《中国卫生产业》2020年第36期73-76,共4页China Health Industry

基　　金：中国老年医学学会感染防控研究基金(GRYJ-KLB2018028)。

摘　　要：目的评价该院心脏外科患者医院感染所致直接经济损失,为医院感染管理提供参考依据。方法回顾性调查2018年1月—12月该院医院感染与非医院感染患者,采用1:1匹配的方法进行配对,比较医院感染患者与非医院感染患者住院费用和住院时间。结果87.8%的医院感染患者被成功匹配,匹配后,心脏外科医院感染患者较非医院感染患者住院时间延长14 d、总住院费用增加51194.11元,差异有统计学意义(P<0.05)。其中,下呼吸道感染患者较非感染患者住院时间延长13.5 d,总住院费用增加51598.63元,差异有统计学意义(P<0.05)。血液系统感染患者较非感染患者住院时间延长19 d,总住院费用增加162192.44元,差异有统计学意义(P<0.05)。结论心脏外科医院感染导致较大直接经济损失,应采取有针对性措施降低医院感染风险。Objective To evaluate the direct economic losses caused by nosocomial infection in cardiac surgery patients in our hospital,and to provide a reference for nosocomial infection management.Methods A retrospective survey of hospital infections and non-hospital infections in the hospital from January to December 2018,was matched by a 1:1 matching method,and the hospitalization expenses and length of stay of hospital infection patients and non-hospital infection patients were compared.Results 87.8%of patients with nosocomial infection were successfully matched.After matching,patients with nosocomial infection in cardiac surgery had a longer hospital stay than non-infected patients by 14 d,and the total hospitalization cost increased by 51194.11 yuan.The differences were statistically significant(P<0.05).Among them,patients with lower respiratory tract infections had a longer hospital stay than non-infected patients by 13.5 d,and the total hospitalization expenses increased by 51598.63 yuan,the difference was statistically significant(P<0.05).Compared with non-infected patients,the length of hospitalization for patients with blood system infection was 19 d longer,and the total hospitalization cost increased by 162192.44 yuan,the difference was statistically significant(P<0.05).Conclusion Nosocomial infections in cardiac surgery cause greater direct economic losses,and targeted measures should be taken to reduce the risk of nosocomial infections.

关 键 词：医院感染 心脏外科 住院费用 住院时间 病例对照研究 

分 类 号：R19[医药卫生—卫生事业管理]