期刊文献+
共找到3篇文章
< 1 >
每页显示 20 50 100
神经外科多重耐药菌医院感染直接经济损失分析 被引量:4
1
作者 费宏玮 王丹丹 +3 位作者 孙峰 严心远 朱剑清 王惠英 《中国卫生资源》 北大核心 2022年第2期210-216,共7页
目的 分析多重耐药菌(multi-drug resistant organism,MDRO)医院感染对神经外科住院患者住院费用和住院天数的影响,探讨MDRO医院感染造成住院费用差异的可能原因,为神经外科MDRO医院感染的管理与控制提供数据支持。方法 选取某大型三级... 目的 分析多重耐药菌(multi-drug resistant organism,MDRO)医院感染对神经外科住院患者住院费用和住院天数的影响,探讨MDRO医院感染造成住院费用差异的可能原因,为神经外科MDRO医院感染的管理与控制提供数据支持。方法 选取某大型三级甲等综合医院2019年1月1日—2019年12月31日住院、住院时间>48 h、住院费>1 000元的12 072例神经外科住院患者为研究对象,其中109例发生MDRO医院感染、其余患者11 963例。采用倾向指数匹配法(propensity score matching,PSM)对两组进行1:1匹配,对匹配后的病例组与对照组进行住院费用与住院日的统计分析,并用Blinder-Oaxaca分解法探讨造成住院费用差异的影响因素。结果 经PSM成功匹配108对,匹配成功率为99.08%。匹配后病例组与对照组在年龄、手术、疾病诊断等级、合并基础疾病、输血等方面差异无统计学意义(P>0.05)。病例组住院总费用、日住院费用及各项费用支出均高于对照组(P<0.01)。MDRO医院感染造成的直接经济损失为10.87万元/例,其中西药费占比最大为6.37万元/例(58.63%)。病例组住院天数较对照组延长14 d(P<0.01)。住院天数的禀赋差异为58.25%,且MDRO医院感染患者住院费用对住院天数的敏感程度更强。耐碳青霉烯类肠杆菌科细菌(carbapenem-resistant Enterobacteriaceae,CRE)、耐甲氧西林金黄色葡萄球菌(methicillin-resistant Staphylococcus aureus,MRSA)、耐碳青霉烯类鲍曼不动杆菌(carbapenems-resistant Acinetobacter baumanii,CRAB)、耐碳青霉烯类铜绿假单胞菌(carbapene-resistant Pseudomonas aeruginosa,CRPA)4组医院感染患者的住院天数与总住院费用无统计学意义(P>0.05),但CRE医院感染患者的治疗费高于CRAB、CRPA(P<0.05)。结论 MDRO医院感染显著增加神经外科住院患者的住院天数和住院费用,医院管理部门应采取有效防控措施,减少下呼吸道、CRE医院感染等发生,重点控制住院天数,进而减轻患者经济负担。 展开更多
关键词 神经外科department of neurosurgery 医院感染hospital-acquired infection 多重耐药菌multidrug-resistant organism 直接经济损失direct economic loss Blinder-Oaxaca分解Blinder-Oaxaca decomposition
下载PDF
Hazard Footprint-Based Normalization of Economic Losses from Tropical Cyclones in China During 1983–2015 被引量:2
2
作者 Wenfang Chen Yi Lu +2 位作者 Shao Sun Yihong Duan Gregor C.Leckebusch 《International Journal of Disaster Risk Science》 SCIE CSCD 2018年第2期195-206,共12页
Loss normalization is the prerequisite for understanding the effects of socioeconomic development,vulnerability, and climate changes on the economic losses from tropical cyclones. In China, limited studies have been d... Loss normalization is the prerequisite for understanding the effects of socioeconomic development,vulnerability, and climate changes on the economic losses from tropical cyclones. In China, limited studies have been done on loss normalization methods of damages caused by tropical cyclones, and most of them have adopted an administrative division-based approach to define the exposure levels. In this study, a hazard footprint-based normalization method was proposed to improve the spatial resolution of affected areas and the associated exposures to influential tropical cyclones in China. The meteorological records of precipitation and near-surface wind speed were used to identify the hazard footprint of each influential tropical cyclone. Provincial-level and national-level(total)economic loss normalization(PLN and TLN) were carried out based on the respective hazard footprints, covering loss records between 1999–2015 and 1983–2015, respectively.Socioeconomic factors—inflation, population, and wealth(GDP per capita)—were used to normalize the losses. A significant increasing trend was found in inflation-adjusted losses during 1983–2015, while no significant trend was found after normalization with the TLN method. The proposed hazard footprint-based method contributes to amore realistic estimation of the population and wealth affected by the influential tropical cyclones for the original year and the present scenario. 展开更多
关键词 China direct economic loss Loss normalization Tropical cyclones Typhoon disaster risk
原文传递
Tropical cyclone hazards analysis based on tropical cyclone potential impact index 被引量:5
3
作者 XIAO Fengjin YIN Yizhou +2 位作者 LUO Yong SONG Lianchun YE Dianxiu 《Journal of Geographical Sciences》 SCIE CSCD 2011年第5期791-800,共10页
Tropical cyclone,a high energy destructive meteorological system with heavy rainfall and gale triggered massive landslides and windstorms,poses a significant threat to coastal areas.In this paper we have developed a T... Tropical cyclone,a high energy destructive meteorological system with heavy rainfall and gale triggered massive landslides and windstorms,poses a significant threat to coastal areas.In this paper we have developed a Tropical Cyclone Potential Impact Index (TCPI) based on the air mass trajectories,disaster information,intensity,duration,and frequency of tropical cyclones.We analyzed the spatial pattern and interannual variation of the TCPI over the period 1949-2009,and taking the Super Typhoon Saomai as an example have examined the relationship between the TCPI and direct economic losses,total rainfall,and maximum wind speed.The results reveal that China's TCPI appears to be a weak decreasing trend over the period,which is not significant overall,but significant in some periods.Over the past 20 years,the TCPI decreased in the southern China coastal provinces of Hainan,Guangdong and Guangxi,while it increased in the southeastern coastal provinces of Zhejiang,Fujian and Taiwan.The highest values of TCPI are mainly observed in Taiwan,Hainan,the coastal areas of Guangdong and Fujian and Zhejiang's southern coast.The TCPI has a good correlation (P=0.01) with direct economic loss,rainfall,and maximum wind speed. 展开更多
关键词 tropical cyclone potential impact index temporal and spatial variation direct economic losses Typhoon Saomai
原文传递
上一页 1 下一页 到第
使用帮助 返回顶部