慢性阻塞性肺疾病住院患者医院感染的卫生经济学评价

Health economics evaluation of nosocomial infection in patients with COPD

目的研究医院感染(NI)对慢性阻塞性肺疾病患者住院费用的影响。方法选取某三级甲等医院呼吸内科病区118例发生NI的慢性阻塞性肺疾病住院患者作为病例组,采用1∶1条件配比非感染病例作为对照组,比较两组患者的一般情况,慢性阻塞性肺疾病对两组患者的住院天数及住院费用的影响。结果慢性阻塞性肺疾病发生NI患者住院天数延长,住院费用增加,P<0.01;各分项费用中除其他费用外,两组患者花费差异均具有统计学意义P<0.01。结论慢性阻塞性肺疾病患者NI延长住院时间,增加住院费用。采取有效措施控制NI将会产生良好的经济效益和社会效益。

Objective To evaluate the economic loss caused by nosocomial infection in hospitalized patients with chronic obstructive pulmonary disease.Methods Totally 118 inpatients of COPD with nosocomial infection were selected as the case group,and according to the 1∶1 ratio,non-infection cases were taken as the control group.The basic information and effects of COPD on the hospital stay and hospitalization expense were compared between the two groups.Results The length of stay and the cost of hospitalization of patients with nosocomial infection of COPD increased,and the difference was statistically significant(P<0.01).There was significant difference between the two groups in the cost of each sub item except other costs(P<0.01).Conclusion Hospital infection of COPD patients prolongs the length of stay and increases the cost of hospitalization.Taking effective measures to control hospital infection will produce good economic and social benefits.