首页|小儿外伤性脑损伤急性治疗费用特征:来自中国的5年观察研究

小儿外伤性脑损伤急性治疗费用特征:来自中国的5年观察研究

Characteristics of acute treatment cost of pediatric traumatic brain injury:a five-year observation from China

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目的 创伤性脑损伤(TBI)是导致儿童死亡和残疾的主要原因,会给患者家庭带来巨额住院费用,该研究描述了以医院为基础的儿童TBI的临床特征和急性治疗费用特点.方法 对 2015-2020 年中国某三甲医院所有儿童TBI患者进行回顾性观察研究,以急性住院总费用为主要终点指标,进行线性回归,分析儿童TBI住院费用的预测因素.结果 共纳入 208 例儿童患者,急性治疗费用中位数为 2 036(IQR:529~4 212)美元,住院时间中位数为 6(IQR:4~8)d.每个年龄组儿童跌倒的比例都高于交通事故.在多元线性回归分析中,住院时间延长、年龄 12~18 岁、接受手术和入住ICU是住院费用的预测因素(P<0.05).结论 该研究对儿童TBI治疗期间的医疗保健资源规划具有潜在意义,有助于加强家庭安全教育,防范幼儿坠床危险,以及加强对轻便摩托车的管控,降低儿童TBI的急性住院费用.
Objective Traumatic brain injury(TBI)is a leading cause of death and disability in children,resulting in significant hospital costs.This study aims to describe the clinical characteristics and acute treatment cost characteristics of hospital-based pediatric TBI.Methods This study conducted a retrospective observational study on all pediatric TBI patients in a tertiary hospital in China from 2015 to 2020.Taking the total acute hospitalization cost as the primary endpoint,linear regression was performed to analyze the predictive factors of pediatric TBI hospitalization costs.Results A total of 208 children patients were included in this study.The median cost of acute treatment was US$2 036(IQR,529-4 212),and the median length of stay was 6 days(IQR,4-8).Children in every age group have more falls than traffic accidents.In multiple linear regression analysis,prolonged hospitalization,age 12-18 years,surgery and ICU admission were predictors of hospitalization costs(P<0.05).Conclusion This study has potential significance for health care resource planning during the treatment of children's TBI.Strengthening family safety education,preventing the danger of young children falling from the bed,and strengthening the control of mopeds will help reduce the acute hospitalization costs of PTBI.

ChildrenBrain injuryTraumaEconomic cost

冯雅笛、袁媛、张冉、田永吉

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首都医科大学附属北京天坛医院重症医学科,北京 100070

儿童 脑损伤 创伤 经济成本

首都卫生发展科研专项

2020-2-2047

2024

中国急救复苏与灾害医学杂志
中国医学救援学会

中国急救复苏与灾害医学杂志

CSTPCD
影响因子:0.568
ISSN:1673-6966
年,卷(期):2024.19(6)