动脉瘤性蛛网膜下腔出血术后患者医院感染直接经济损失研究  

Study on Direct Economic Loss of Nosocomial Infection in Patients with Aneurysmal Subarachnoid Hemorrhage After Operation

作　　者：宋庆鑫 左志文[3] 卓凤娟 李洪艳 李荣庆 彭善鑫 涂丽香 孙志清[3] 朱晓松 SONG Qing-xin;ZUO Zhi-wen;ZHUO Feng-juan;LI Hong-yan;LI Rong-qing;PENG Shan-xin;TU Li-xiang;SUN Zhi-qing;ZHU Xiao-song(Department of Neurosurgery,Linyi People's Hospital,Linyi 276000,Shandong,China;Department of Neurosurgery,West China Hospital of Sichuan University,Chengdu 610044,Sichuan,China;Infection Management Department of Linyi People's Hospital,Linyi 276000,Shandong,China)

机构地区：[1]临沂市人民医院神经外科,山东临沂276000 [2]四川大学华西医院神经外科,四川成都610044 [3]临沂市人民医院医院感染管理部,山东临沂276000

出　　处：《医学信息》2024年第9期97-100,共4页Journal of Medical Information

基　　金：国家自然科学基金资助项目(编号:82003435);山东省自然科学基金资助项目(编号:ZR2020QH332)。

摘　　要：目的对动脉瘤性蛛网膜下腔出血患者术后发生医院感染造成的直接经济损失进行研究,以期为医院感染防控提供理论依据。方法采用1:1病例对照研究方法,选取某三级甲等综合性医院2020年1月-2021年12月动脉瘤性蛛网膜下腔出血患者术后发生医院感染的20例患者为病例组,术后未发生感染的20例患者为对照组,比较两组直接经济损失和住院时间。结果20例病例组患者中发生医院感染主要为下呼吸道感染,其次为中枢神经系统感染、泌尿道感染;病例组住院时间为17.50(15.75,20.00)d,长于对照组的12.00(10.00,13.00)d(P<0.05)。除手术费外,病例组其他各类住院费用均高于对照组(P<0.05);病例组与对照组不同感染部位住院时间、住院费用比较,差异有统计学意义(P<0.05)。结论动脉瘤性蛛网膜下腔出血患者术后发生医院感染可延长其住院时间,增加住院总费用。因此,应采取有效的感染控制措施,减少医院感染发生率,从而减轻患者的经济负担。Objective To study the direct economic loss caused by nosocomial infection in patients with aneurysmal subarachnoid hemorrhage after operation,so as to provide theoretical basis for prevention and control of nosocomial infection.Methods A 1:l case-control study was conducted to select 20 patients with postoperative nosocomial infection in patients with aneurysmal subarachnoid hemorrhage from January 2020 to December 2021 in a tertiary general hospital as the case group,and 20 patients without postoperative infection as the control group.The direct economic losses and hospitalization time were compared between the two groups.Results Among the 20 patients in the case group,the hospital infection was mainly lower respiratory tract infection,followed by central nervous system infection and urinary tract infection.The number of hospitalization days in the case group was 17.50(15.75,20.00)d,which was longer than 12.00(10.00,13.00)d in the control group(P<0.05).Except for the operation cost,the hospitalization expenses of other types in the case group were higher than those in the control group(P<0.05).There were significant differences in the number of hospitalization days and hospitalization expenses between the case group and the control group(P<0.05).Conclusion Postoperative nosocomial infection in patients with aneurysmal subarachnoid hemorrhage can prolong the length of hospital stay and increase the total cost of hospitalization.Therefore,effective infection control measures should be taken to reduce the incidence of nosocomial infection and reduce the economic burden of patients.

关 键 词：动脉瘤性蛛网膜下腔出血 医院感染 直接经济损失 

分 类 号：R743[医药卫生—神经病学与精神病学]