Dergiler / Journal of Neurological Sciences (Turkish) / 2015 / Cilt: 32 - Sayı: 2
Predictive Factors of Acute Hospital Costs For The Treatment of Acute Intracerebral Hemorrhage in Southwest China
- Sayfa
- 382–390
- DOI
- —
Özet
Amaç; Hastanede tedavi gören akut spontan intra-serebral hematom olgularında tıbbigiderleri analiz etmek ve giderlerin dağılımını ve etke eden faktörleri değerlendirmek.Materyal ve Metod: Spontan hematom olgularında klinik data ve tıbbi giderler Ocak2009dan Aralık 2010 tarihine dek prospektif olarak toplanmış ve istatiksel olarakdeğerlendirilmiştir. Multivaryat lineer regresyon modelinde toplam ekonomik maliyete etkieden faktörler değerlendirilmiştir.Bulgular: Bu çalışmaya toplam 328 hasta dahil edilmiştir. Hastanede kalış suresi boyuncatoplam ortama doğrudan maliyet 17028 RMB idi. İlaç giderleri ve cerrahi giderler en büyükkısmı meydana getiriyordu ve sırasıyla %41,8 ve %30,2lik kısmı oluşturuyordu. Hastanedekalış suresi (P
Abstract
Aim: To analyze the direct medical costs of hospitalized spontaneous intracerebralhemorrhage patients, and investigate the characteristics of cost distribution and its influencingfactors in southwest China.Material and Methods: Clinical data and medical cost of spontaneous intracerebralhemorrhage patients were prospectively enrolled in the database from Jan 2009 to Dec 2010,followed by statistical analysis. Various factors affecting the economic burden of spontaneousintracerebral hemorrhage patients were analyzed in a multivariate linear regression model.Results: A total of 328 spontaneous intracerebral hemorrhage patients were enrolled in thisstudy. The mean direct medical cost during hospitalization was 17028 RMB. The proportionsof medication cost and surgery cost were the highest, accounting for 41.8% and30.2%respectively. Hospitalization duration (P < 0.001), treatment methods (surgery vs. non- surgery, P < 0.001; conventional craniotomy vs. endoscopic surgery, P < 0.001), pulmonaryinfection (P < 0.001), rehemorrhage (P < 0.001) and Glasgow coma scale score at admission(P = 0.042) were main factors affecting per capita direct medical costs.Conclusion: Direct medical costs of spontaneous intracerebral hemorrhage patients dependon the disease severity, hospitalization duration, treatment methods and complications. Forthose spontaneous intracerebral hemorrhages without clear surgical indication, hasty surgerywill greatly increase the direct medical costs. For most cases needing hematoma evacuation,the endoscopic surgery may help to reduce the hospitalization cost and enhance the cost- benefit ratio.