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学科主题: 急诊医学
题名:
急性主动脉夹层患者住院费用的影响因素分析
其他题名: Influence factors analysis of the hospitalization cost for the acute aortic dissection patients
作者: 马青变; 葛洪霞; 郑亚安
关键词: 住院费用 ; 急性主动脉夹层( AAD) ; 手术 ; 影响因素 ; Hospitalization cost ; Acute aortic dissection ( AAD) ; Surgery ; Influence factors
刊名: 中国急救医学
发表日期: 2015
DOI: 10.3969/j.issn.1002-1949.2015.02.012
期: 2, 页:138-141
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的:分析急性主动脉夹层( acute aortic dissection, AAD)患者不同因素对住院费用的影响。方法收集2001-02-01~2010-02-01我院因AAD住院患者的临床资料,回顾分析其住院费用及影响住院费用的相关临床因素。结果①共纳入AAD住院患者58例,平均年龄(55.2±11.7)岁,男女比例10.6∶1,病死率为24.1%(14/58)。②58例AAD患者的住院费用中位数表示为115296元,25%~75%分位为15899~158635元。③根据年龄是否≥60岁、诊断分型、诊断是否延迟、治疗方式、预后、是否住重症监护病房( ICU)、是否有并发症等因素分组分析,各组间住院费用均差异无统计学意义。④将44例存活患者依据上述因素分组分析,手术治疗组住院费用明显高于非手术治疗组[13.8(12.1,16.8)vs 1.2(1.0,1.6)万元],差异有统计学意义(P<0.001)。结论 AAD患者的住院费用很高,手术是影响存活AAD患者住院费用高的重要因素。 Objective To assess the cost of hospitalizing patients with acute aortic dissection ( AAD) and identify the cost determinants of the disease.Methods All 58 adult patients admitted in Peking University Third Hospital from Feb.1, 2001 to Feb.1, 2011 were reviewed retrospectively. Analysis included demographic, hospitalizing cost and related clinical variables affecting the costs. Results ①A total of 58 patients with AAD were included in the study.The average age was 55.2 ± 11.7 years old.The ratio of male to female was 10.6:1.The mortality in hospital was 24.1%.②Median hospital cost was RMB 115, 296, (25%~75%:15, 899~158, 635).③For all patients, age, the Stanford classification, delay for diagnosis, prognosis, complication, whether surgery and admitting intensive care unit were not the determinants of hospital cost.④But for survival patients, surgery or no surgery RMB 137, 944 (121, 244~168, 185) vs RMB 12, 180 (10, 047~15, 899) was the important factor for expensive hospital cost (P <0.001).Conclusion The hospital cost of acute aortic dissection was expensive.Surgery was associated with increased cost in survival AAD patients.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/71426
Appears in Collections:北京大学第三临床医学院_急诊科_期刊论文

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作者单位: 北京大学第三医院急诊科, 北京,100191

Recommended Citation:
马青变,葛洪霞,郑亚安. 急性主动脉夹层患者住院费用的影响因素分析[J]. 中国急救医学,2015(2):138-141.
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