心胸外科住院患者医院感染直接经济损失病例对照研究

Direct Economic Loss due to Hospital Infection in Cardiothoracic Surgery Wards:A Case-control Study

目的了解心胸外科患者因医院感染造成的直接经济损失。方法采用回顾性调查方法对75例发生医院感染与100例未发生医院感染的心胸外科患者进行病例经济损失对照研究。结果 75例发生医院感染的心胸外科患者中位数药费为7720.3元,对照组中位数药费为2909元,感染组比对照组多支出4811.3元,感染组的住院医疗费用比对照组多支出7928.1元,医院感染患者延长住院时间7 d,经统计学分析两组差异有统计学意义(P<0.05);发生医院感染患者住院费用、药费支出以下呼吸道感染最高,平均住院日也以下呼吸道感染最长。结论积极开展医院感染及医院感染经济损失相关理论培训,将医院感染事件损失纳入医院考核范畴,减少医院感染发生,可降低医院感染的经济损失,降低医疗费用支出。

OBJECTIVE To know about the direct economic loss resulted from hospital infection of inpatients in cardiothoracic surgery.METHODS A retrospective survey method was used to study the economic loss of 75 inpatients with hospital infection and 100 inpatients without hospital infection in cardiothoracic surgery,and a case-control study method was applied to compare the difference of economic loss between them.RESULTS The average medicine fee per capita of 75 infected inpatients was 7720.3 RMB,vs 2909 RMB of non-infected inpatients,the for mer group was more 4811.3 RMB than that of letter group,the total medical expenses of case group was 7928.1 RMB more than that of control group,and the hospital stay of infected inpatients was extended for 7 days.The obvious difference was found between the two groups by means of statistical analysis（P〈0.05）.In the total inpatient expenditure and medicine expenditure of infected inpatients the highest was due to the lower respiratory tract infection and with the longest average hospital stay.CONCLUSIONS The related theoretic training on hospital infection and its economic loss should be carried out actively,the hospital infection affairs loss should be included into the scope of assessment of hospital to reduce the incidence rate and economic loss of hospital infection,and decrease medicine expenditure.