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学科主题: 临床医学
题名:
Cost-effectiveness of diagnostic approaches to vasovagal syncope in children and adolescents in China: a health economic analysis
作者: Li Ya-wen1; Chen Li2; Du Jun-bao2; Yang Yuan-yuan3; Jin Hong-fang2
关键词: vasovagal syncope ; diagnosis ; economics ; children
刊名: CHINESE MEDICAL JOURNAL
发表日期: 2010-10-05
DOI: 10.3760/cma.j.issn.0366-6999.2010.19.003
卷: 123, 期:19, 页:2635-2639
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Medicine, General & Internal
研究领域[WOS]: General & Internal Medicine
关键词[WOS]: NEURALLY-MEDIATED SYNCOPE ; UP TILT TEST ; EMERGENCY-DEPARTMENT ; MANAGEMENT ; PROTOCOL ; IMPACT
英文摘要:

Background Syncope is a common clinical problem with multiple causes. Vasovagal syncope (VVS) is by far the most frequent cause of syncope in children and adolescents. The traditional diagnostic approach to VVS of children and adolescents is based on a series of tests to exclude all other causes, which is complex and time and medical resource consuming. Attempts have been made to develop a new cost-effective diagnostic approach to avoid these problems. This study aimed to compare the economic effectiveness and diagnostic value of the traditional diagnostic approach to VVS of children with a new diagnostic approach.

Methods One hundred and eighteen children diagnosed as VVS were divided into two groups according to the different diagnostic approaches. The diagnostic value of the two diagnostic approaches was then analyzed. Meanwhile, the costs of hospitalization, diagnostic testing and hospital stay were determined. Data were evaluated by the cost-minimization analysis.

Results The diagnostic value of the new diagnostic approach was similar to that of the traditional diagnostic approach (56.57% vs. 53.91%, P=0.697). However, the cost of hospitalization per patient by the new diagnostic approach was (1507.08 +/- 144.63) Yuan (RMB) which was less than that of the traditional diagnostic approach (2603.64 +/- 208.19) Yuan. The costs of diagnostic tests per patient by the new diagnostic approach was (1256.04 +/- 109.14) Yuan and by the traditional approach (2175.22 +/- 153.32) Yuan.

Conclusion Compared to the traditional diagnostic approach to diagnose VVS in children and adolescents, the new diagnostic approach is of a good economic value, and it should be popularized in clinical practice. Chin Med J 2010;123(19):2635-2639

语种: 英语
所属项目编号: 307001 ; 2004BA720A10
项目资助者: Capital Medical Development Scientific Project ; Ministry of Education, China ; National Tenth Five-year Plan Project
WOS记录号: WOS:000283562300003
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/56466
Appears in Collections:北京大学第一临床医学院_儿科_期刊论文

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作者单位: 1.Beijing Univ Posts & Telecommun, Sch Econ & Management, Beijing 102209, Peoples R China
2.Peking Univ, Hosp 1, Dept Pediat, Beijing 100034, Peoples R China
3.Peking Univ, Sch Nursing, Hlth Sci Ctr, Beijing 100191, Peoples R China

Recommended Citation:
Li Ya-wen,Chen Li,Du Jun-bao,et al. Cost-effectiveness of diagnostic approaches to vasovagal syncope in children and adolescents in China: a health economic analysis[J]. CHINESE MEDICAL JOURNAL,2010,123(19):2635-2639.
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