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Analysis of hospitalization costs related to fall injuries in elderly patients 认领 引用 被引量：1
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作者 Fei-Yue Su Mei-Ling Fu +3 位作者 Qing-Hua Zhao Huan-Huan Huang Di Luo Ming-Zhao Xiao 《World Journal of Clinical Cases》 SCIE 2021年第6期1271-1283,共13页
BACKGROUND With the aging world population,the incidence of falls has intensified and fallrelated hospitalization costs are increasing.Falls are one type of event studied in the health economics of patient safety,and ... BACKGROUND With the aging world population,the incidence of falls has intensified and fallrelated hospitalization costs are increasing.Falls are one type of event studied in the health economics of patient safety,and many developed countries have conducted such research on fall-related hospitalization costs.However,China,a developing country,still lacks large-scale studies in this area.AIM To investigate the factors related to the hospitalization costs of fall-related injuries in elderly inpatients and establish factor-based,cost-related groupings.METHODS A retrospective study was conducted.Patient information and cost data for elderly inpatients(age≥60 years,n=3362)who were hospitalized between 2016 and 2019 due to falls was collected from the medical record systems of two grade-A tertiary hospitals in China.Quantile regression(QR)analysis was used to identify the factors related to fall-related hospitalization costs.A decision tree model based on the chi-squared automatic interaction detector algorithm for hospitalization cost grouping was built by setting the factors in the regression results as separation nodes.RESULTS The total hospitalization cost of fall-related injuries in the included elderly patients was 180479203.03 RMB,and the reimbursement rate of medical benefit funds was 51.0%(92039709.52 RMB/180479203.03 RMB).The medical material costs were the highest component of the total hospitalization cost,followed(in order)by drug costs,test costs,treatment costs,integrated medical service costs and blood transfusion costs The QR results showed that patient age,gender,length of hospital stay,payment method,wound position,wound type,operation times and operation type significantly influenced the inpatient cost(P<0.05).The cost grouping model was established based on the QR results,and age,length of stay,operation type,wound position and wound type were the most important influencing factors in the model.Furthermore,the cost of each combination varied significantly.CONCLUSION Our grouping model of hospitalization costs clearly reflected the key factors affecting hospitalization costs and can be used to strengthen the reasonable control of these costs. 展开更多
关键词 Falls Elderly Hospitalization costs Quantile regression model Decision tree model Prevention
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Influencing factors of hospitalization costs for glaucoma patients under clinical pathway management 认领 引用
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作者 Bomin Lin Yangchu Li +5 位作者 Wei Zhang Xiqing Liao Huiming Xiao Jianming Sun Yanwei Lin Aihua Lin 《Annals of Eye Science》 2019年第1期152-160,共9页
Background:To investigate and analyze the hospitalization costs of inpatients with primary acute angle closure glaucoma(PACG),and to explores the influencing factors of hospitalization cost and to provide reference fo... Background:To investigate and analyze the hospitalization costs of inpatients with primary acute angle closure glaucoma(PACG),and to explores the influencing factors of hospitalization cost and to provide reference for specialized hospitals to carry out clinical pathways.Methods:The first page diagnostic data of PACG patients’medical records were collected,and an Excel database was established according to the International Classification of Diseases(ICD-10)code.Statistical analysis of hospitalization data was performed using SPSS 17.0 software.Results:Hospitalization days and clinical pathway which affect the change of the hospitalization cost(P<0.001).Conclusions:Hospitalization day is an important factor affecting the hospitalization cost,reducing unnecessary hospitalization time can control the increase of hospitalization cost. 展开更多
关键词 Clinical pathway glaucoma hospitalization cost statistical analysis
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Impact of Smoking Cessation Duration on Exacerbation Readmission Frequency and Hospitalization Costs in COPD — Beijing Municipality, China, 2013–2021 认领 引用
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作者 Jiachen Li Jian Su +1 位作者 Zhaohui Tong Lirong Liang 《China CDC weekly》 SCIE CSCD 2025年第22期766-770,共5页
Introduction:The relationship between smoking cessation duration and subsequent healthcare utilization,particularly exacerbation readmissions and costs,remains unclear in patients with chronic obstructive pulmonary di... Introduction:The relationship between smoking cessation duration and subsequent healthcare utilization,particularly exacerbation readmissions and costs,remains unclear in patients with chronic obstructive pulmonary disease(COPD).Methods:This retrospective cohort study included 7,868 COPD patients from Beijing Chao-Yang Hospital.Patients were classified by smoking status(never smokers,current smokers,and former smokers categorized by cessation duration:≤10 years,11–20 years,>20 years).We analyzed the association between smoking status and 3-year frequency of exacerbation readmissions and hospitalization costs.Results:Over the three-year follow-up,3,546 acute exacerbations of COPD(AECOPD)readmissions were documented,with an overall incidence rate of 0.15 per person-year.Compared with never smokers,the adjusted incidence rate ratios(IRRs)were 1.48(1.05-2.07)for>20 years cessation,2.17(1.57–3.00)for 11–20 years,1.77(1.46–2.14)for≤10 years,and 1.75(1.44–2.13)for current smokers.Corresponding hospitalization costs were 1.35,1.80,1.37,and 1.28(in 10,000 CNY),respectively,versus 0.80 in never smokers.Among patients aged<60 years,those who had quit for over 10 years had risks similar to never smokers.Restricted cubic spline analyses among former smokers indicated a nonlinear association between smoking cessation duration and AECOPD readmission risk,with risk peaking within 10 years of cessation and declining thereafter.Conclusions:These findings reinforce the importance of early,sustained smoking cessation in COPD management.Smoking cessation may represent a cost-effective strategy to reduce healthcare expenditures. 展开更多
关键词 cohort study chronic obstructive pulmonary disease copd methods analyzed associati smoking cessation duration hospitalization costs chronic obstructive pulmonary disease exacerbation readmissions
Depression and race affect hospitalization costs of heart failure patients 认领 引用 被引量：2
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作者 Baqar A.Husaini Robert S.Levine +3 位作者 Meggan L.Novotny Van A.Cain Uchechukwu K.A.Sampson Majaz Moonis 《Family Medicine and Community Health》 2015年第2期39-47,共9页
Objective:Depression and anxiety are frequently observed in heart failure(HF)patients;however,the effect of such factors on hospitalization costs of HF patients,and whether such costs vary by race and gender remain po... Objective:Depression and anxiety are frequently observed in heart failure(HF)patients;however,the effect of such factors on hospitalization costs of HF patients,and whether such costs vary by race and gender remain poorly understood.This analysis delineated the preva-lence of depression/anxiety among HF patients and estimated the effect of race and gender on hospitalization costs.Methods:We examined the 2008 files of the Tennessee Hospital Discharge Data System(HDDS)on patients(≥20 years of age)with a primary diagnosis of HF(ICD-9 codes 402,404,and 428)along with demographic data,depression/anxiety diagnoses,hospital costs,and comorbidities.Among the HF sample(n=16,889)53%were female and 23%were black.Race and gender differences in hospital costs were evaluated for the following three groups:(1)HF patients with depression/anxiety(HF+D);(2)HF-only patients without depression/anxiety(HFO);and(3)HF patients with other mental diagnoses(HF+M).Results:HF was significantly(p<0.000)higher among blacks compared to whites,and higher among males than females.Nearly 25%of HF patients had depression/anxiety(more whites and females were depressed).HF patients averaged more than 3 comorbidities(blacks had a greater number of comorbidities and hospitalization cost for the year).Costs were higher among HF+D patients compared to HFO patients.Among HF+D patients,costs were higher for black males compared with white males.These cost patterns prevailed largely because of higher comorbidities that required more re-admissions and longer hospital stays.Conclusion:Race and depression/anxiety are associated with increased hospitalization costs of HF patients.The higher costs among blacks reflect the higher burden of comorbidities,such as hypertension and diabetes,which calls for widespread dissemination,adoption,and implementation of proven interventions for the control of these comorbidities. 展开更多
关键词 Hospitalization costs heart failure race gender depression
Study on the efficacy of abdominal ultrasound examination in assessing lower common bile duct stones in 62 cases 认领 引用
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作者 GULIMIRE·Amuti MUKADAISI·Abudulin 《外文科技期刊数据库（文摘版）医药卫生》 2026年第3期029-033,共5页
Objective: To explore the application of abdominal ultrasound techniques for evaluating lower common bile duct stones to improve stone clearance rates, reduce recurrence rates, shorten hospital stays, lower hospitaliz... Objective: To explore the application of abdominal ultrasound techniques for evaluating lower common bile duct stones to improve stone clearance rates, reduce recurrence rates, shorten hospital stays, lower hospitalization costs, and enhance medical efficiency. Methods: A total of 62 patients with lower common bile duct stones were randomly divided into an observation group and a control group (n=31 each). The control group received conventional management, while the observation group underwent diagnostic and therapeutic interventions using abdominal ultrasound techniques. Comparison was made between the two groups regarding stone clearance rates, hospital stay duration, hospitalization costs, and residual stone burden in the common bile duct, with analysis conducted on factors contributing to stone recurrence. Results: The stone clearance rate in the observation group reached 96.00%, significantly higher than that of the control group (76.00%). Additionally, the observation group exhibited shorter hospital stays, lower costs, and significantly fewer residual stones in the common bile duct compared to the control group. Analysis revealed that residual stones were a major factor contributing to stone recurrence. Conclusion: The application of specialized abdominal ultrasound techniques for evaluating lower common bile duct stones effectively improves stone clearance rates, reduces recurrence rates, shortens hospital stays, and lowers costs, demonstrating significant clinical value. 展开更多
关键词 Lower common bile duct stones Abdominal ultrasound examination Clearance rate Recurrence rate Hospitalization costs
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江西省某三级甲等医院2型糖尿病患者次均住院费用新灰色关联分析 认领 引用 被引量：35
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作者 马强 张彩凤 +2 位作者 李芬 陈玉倩 万晓文 《中国卫生资源》 北大核心 2021年第2期171-175,共5页
目的分析江西省某三级甲等医院2型糖尿病患者次均住院费用的构成以及影响次均住院费用的主要因素,为有效控制此类患者的住院费用及减轻疾病经济负担提供依据。方法选取江西省某三级甲等医院2015—2018年1928例2型糖尿病患者的住院费用明... 目的分析江西省某三级甲等医院2型糖尿病患者次均住院费用的构成以及影响次均住院费用的主要因素,为有效控制此类患者的住院费用及减轻疾病经济负担提供依据。方法选取江西省某三级甲等医院2015—2018年1928例2型糖尿病患者的住院费用明细,利用新灰色关联分析法对患者住院各项费用的关联度、贡献率以及变动率等指标进行分析。结果2015—2018年,次均住院费用的构成比和关联系数最大的影响因素是治疗费,而结构贡献率最高的因素是药品费;与次均住院费用关联度最大的前三项目顺位分别是治疗费(0.9650)、药品费(0.9100)和检查费(0.8125);结构贡献率最高的前三项目顺位是药品费(30.00%)、护理费(11.69%)和诊察费(10.61%),三者累计结构贡献率达到52.30%。结论治疗费、药品费和检查费是影响患者次均住院费用最主要的因素,但服务性项目的收费较低。建议着重控制药品费用的增长,适当减轻检查类项目对费用的影响,严格规范临床路径,合理提高服务性项目费用的比例,进一步体现医护人员的劳务价值,构建糖尿病精细化管理体系,丰富健康管理内涵。 展开更多
关键词 2型糖尿病type 2 diatetes 次均住院费用average hospitalization cost per time 新灰色关联分析new grey relational analysis 结构变动度structural change
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Comparison of modified gunsight suture technique and traditional interrupted suture in enterostomy closure 认领 引用 被引量：8
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作者 Chang Chen Xiang Zhang +5 位作者 Zhi-Qiang Cheng Bin-Bin Zhang Xin Li Ke-Xin Wang Yong Dai Yan-Lei Wang 《World Journal of Gastroenterology》 SCIE CAS 2023年第29期4571-4579,共9页
BACKGROUND Prophylactic enterostomy surgery is a common surgical approach used to reduce the risk of anastomotic leakage in patients who have undergone partial intestinal resection due to trauma or tumors.However,the ... BACKGROUND Prophylactic enterostomy surgery is a common surgical approach used to reduce the risk of anastomotic leakage in patients who have undergone partial intestinal resection due to trauma or tumors.However,the traditional interrupted suturing technique used in enterostomy closure surgery has several issues,including longer surgical incisions and higher incision tension,which can increase the risk of postoperative complications.To address these issues,scholars have proposed the use of a“gunsight suture”technique.This technique involves using a gunsight incision instead of a traditional linear incision,leaving a gap in the center for the drainage of blood and fluid to reduce the risk of infection.Building on this technique,we propose an improved gunsight suture technique.A drainage tube is placed at the lowest point of the incision and close the gap in the center of the gunsight suture,which theoretically facilitates early postoperative mobility and reduces the burden of dressing changes,thereby reducing the risk of postoperative complications.AIM To compare the effectiveness of improved gunsight suture technique with traditional interrupted suture in closing intestinal stomas.METHODS In this study,a retrospective,single-center case analysis was conducted on 270 patients who underwent prophylactic ileostomy closure surgery at the Department of Colorectal Surgery of Qilu Hospital from April 2017 to December 2021.The patients were divided into two groups:135 patients received sutures using the improved gunsight method,while the remaining 135 patients were sutured with the traditional interrupted suture method.We collected data on a variety of parameters,such as operation time,postoperative pain score,body temperature,length of hospital stays,laboratory indicators,incidence of incisional complications,number of wound dressing changes,and hospitalization costs.Non-parametric tests and chi-square tests were utilized for data analysis.RESULTS There were no statistically significant differences in general patient information between the two groups,including the interval between the first surgery and the stoma closure[132(105,184)d vs 134(109,181)d,P=0.63],gender ratio(0.64 vs 0.69,P=0.44),age[62(52,68)years vs 60(52,68)years,P=0.33],preoperative body mass index(BMI)[23.83(21.60,25.95)kg/m²vs 23.12(20.94,25.06)kg/m²,P=0.17].The incidence of incision infection in the improved gunsight suture group tended to be lower than that in the traditional interrupted suture group[(n=2/135,1.4%)vs(n=10/135,7.4%),P0.05],but there was no significant difference in the total hospitalization cost between the two groups.CONCLUSION In stoma closure surgery,the improved gunsight technique can reduce the incision infection rate,shorten the postoperative hospital stay,reduce wound tension,and provide better wound cosmetic effects compared to traditional interrupted suture. 展开更多
关键词 Enterostomy Abdominal wound closure technique Suture techniques Surgical wound infection Hospital costs Hospital stay
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Predictive value of frailty assessment tools in patients undergoingsurgery for gastrointestinal cancer: An observational cohort study 认领 引用 被引量：2
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作者 Hui-Pin Zhang Hai-Lin Zhang +5 位作者 Xiao-Min Zhou Guan-Jie Chen Qi-Fan Zhou Jie Tang Zi-Ye Zhu Wei Wang 《World Journal of Gastrointestinal Surgery》 SCIE 2023年第11期2525-2536,共12页
BACKGROUND Few studies have simultaneously compared the predictive value of various frailty assessment tools for outcome measures in patients undergoing gastrointestinal cancer surgery.Therefore,it is difficult to det... BACKGROUND Few studies have simultaneously compared the predictive value of various frailty assessment tools for outcome measures in patients undergoing gastrointestinal cancer surgery.Therefore,it is difficult to determine which assessment tool is most relevant to the prognosis of this population.AIM To investigate the predictive value of three frailty assessment tools for patient prognosis in patients undergoing gastrointestinal cancer surgery.METHODS This single-centre,observational,prospective cohort study was conducted at the Affiliated Lianyungang Hospital of Xuzhou Medical University from August 2021 to July 2022.A total of 229 patients aged≥18 years who underwent surgery for gastrointestinal cancer were included in this study.We collected baseline data on the participants and administered three scales to assess frailty:The comprehen-sive geriatric assessment(CGA),Fried phenotype and FRAIL scale.The outcome measures were the postoperative severe complications and increased hospital RESULTS The prevalence of frailty when assessed with the CGA was 65.9%,47.6%when assessed with the Fried phenotype,and 34.9%when assessed with the FRAIL scale.Using the CGA as a reference,kappa coefficients were 0.398 for the Fried phenotype and 0.291 for the FRAIL scale(both P<0.001).Postoperative severe complications and increased hospital costs were observed in 29(12.7%)and 57(24.9%)patients,respectively.Multivariate logistic analysis confirmed that the CGA was independently associated with increased hospital costs(odds ratio=2.298,95%confidence interval:1.044-5.057;P=0.039).None of the frailty assessment tools were associated with postoperative severe complications.CONCLUSION The CGA was an independent predictor of increased hospital costs in patients undergoing surgery for gastro-intestinal cancer. 展开更多
关键词 Gastrointestinal cancer Frailty Assessment tools Prognostic Complication Hospital costs
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Incidence trends and predictors for cost and average lengths of stay in colorectal cancer surgery 认领 引用 被引量：1
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作者 Daw-Shyong Perng I-Cheng Lu +4 位作者 Hon-Yi Shi Chih-Wen Lin Kuang-Wen Liu Ya-Fen Su King-Teh Lee 《World Journal of Gastroenterology》 SCIE CAS 2014年第2期532-538,共7页
AIM:To evaluate the changing trends and outcomes of colorectal cancer(CRC)surgery performed at a large single institution in Taiwan.METHODS:This study retrospectively analyzed 778patients who received colorectal cance... AIM:To evaluate the changing trends and outcomes of colorectal cancer(CRC)surgery performed at a large single institution in Taiwan.METHODS:This study retrospectively analyzed 778patients who received colorectal cancer surgery at E-Da Hospital in Taiwan from 2004 to 2009.These patients were from health examination,inpatient or emergency settings.The following attributes were analyzed in patients who had undergone CRC surgical procedures:gender,age,source,surgical type,tumor number,tumor size,number of lymph node metastasis,pathologic differentiation,chemotherapy,distant metastases,tumor site,tumor stage,average hospitalization cost and average lengths of stay(ALOS).The odds ratio and95%confidence intervals were calculated to assess the relative rate of change.Regression models were employed to predict average hospitalization cost and ALOS.RESULTS:The study sample included 458(58.87%)males and 320(41.13%)females with a mean age of64.53 years(standard deviation,12.33 years;range,28-86 years).The principal patient source came from inpatient and emergency room(96.02%).The principal tumor sites were noted at the sigmoid colon(35.73%)and rectum(30.46%).Most patients exhibited a tumor stage of 2(37.28%)or 3(34.19%).The number of new CRC surgeries performed per 100000 persons was12.21 in 2004 and gradually increased to 17.89 in 2009,representing a change of 46.52%.During the same period,the average hospitalization cost and ALOS decreased from$5303 to$4062 and from 19.7 to 14.4 d,respectively.The following factors were associated with considerably decreased hospital resource utilization:age,source,surgical type,tumor size,tumor site,and tumor stage.CONCLUSION:These results can be generalized to patient populations elsewhere in Taiwan and to other countries with similar patient profiles. 展开更多
关键词 Colorectal cancer Average hospitalization cost Average lengths of stay Incidence trend Colorectal cancer surgery
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Cost analysis of radical resection of malignant breast tumors under the China Healthcare Security Diagnosis Related Groups payment system 认领 引用 被引量：4
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作者 Yun-He Hu Ai-Dong Li 《World Journal of Clinical Cases》 SCIE 2024年第20期4174-4179,共6页
BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hosp... BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hospitalization costs and structure,and explored the impact of China Healthcare Security Diagnosis Related Groups(CHS-DRG)management on patient costs.It aimed to provide medical institutions with ways to reduce costs,optimize cost structures,reduce patient burden,and improve service efficiency.AIM To study the CHS-DRG payment system’s impact on breast cancer surgery costs.METHODS Using the CHS-DRG(version 1.1)grouping criteria,4073 patients,who underwent the radical resection of breast malignant tumors from January to December 2023,were included in the JA29 group;1028 patients were part of the CHS-DRG payment system,unlike the rest.Through an independent sample t-test,the length of hospital stay as well as total hospitalization,medicine and consumables,medical,nursing,medical technology,and management expenses were compared.Pearson’s correlation coefficient was used to test the cost correlation.RESULTS In terms of hospitalization expenses,patients in the CHS-DRG payment group had lower medical,nursing,and management expenses than those in the diagnosis-related group(DRG)non-payment group.For patients in the DRG payment group,the factors affecting the total hospitalization cost,in descending order of relevance,were medicine and consumable costs,consumable costs,medicine costs,medical costs,medical technology costs,management costs,nursing costs,and length of hospital stay.For patients in the DRG nonpayment group,the factors affecting the total hospitalization expenses in descending order of relevance were medicines and consumable expenses,consumable expenses,medical technology expenses,the cost of medicines,medical expenses,nursing expenses,length of hospital stay,and management expenses.CONCLUSION The CHS-DRG system can help control and reduce unnecessary medical expenses by controlling medicine costs,medical consumable costs,and the length of hospital stay while ensuring medical safety. 展开更多
关键词 China Healthcare Security Diagnosis Related Groups Real-world study Radical resection of malignant breast tumors Hospitalization costs Cost structure Average length of stay
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Study of the economic burden and influencing factors on stroke patients in Central China in the post-epidemic era 认领 引用 被引量：2
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作者 Ciyan Peng Jing Chen +2 位作者 Sini Li Jianhe Li Liubao Peng 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2022年第7期545-555,共11页
The economic burden of disease is the main burden of disease for patients,and experts and scholars have done various studies from different perspectives on various types of diseases.In the present study,we focused on ... The economic burden of disease is the main burden of disease for patients,and experts and scholars have done various studies from different perspectives on various types of diseases.In the present study,we focused on the basic situation of hospitalization cost of stroke patients in Hunan Province and analyzed the factors affecting the hospitalization cost of stroke patients.A retrospective random sample of 7270-case home data of patients discharged from several hospitals in Hunan Province with diagnoses of ICD-10 codes I60 to I64 from 2019 to 2021 was used to analyze the patient’s hospitalization costs and the influencing factors.The univariate analysis was used to eliminate irrelevant factors,and multiple linear regression analysis was performed on the effective factors.Patients’medical costs are increasing year by year,with drug costs accounting for a high proportion of patients’hospitalization costs.The ranking of the total effect factors of hospitalization costs was as follows:the number of days of hospitalization,the level of the institution,the disease subtype,gender,the type of participation,and age.It was recommended to strengthen the scientific and rational use of drugs,improve medical technology and service level,do a good job in early screening and prevention of diseases,realize the hierarchical diagnosis and treatment system,play an active role in community hospitals,use medical resources rationally,develop scientific and rational treatment plans,shorten the number of days of hospitalization,control costs effectively,strengthen publicity and education,and form healthy and good living habits to shorten the number of days of hospitalization.The number of days of hospitalization should be shortened. 展开更多
关键词 Stroke Hospitalization costs Influencing factors
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Surgical treatment of liver cancer and pancreatic cancer under the China Healthcare Security Diagnosis Related Groups payment system 认领 引用
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作者 Yun-He Hu Fan Yu +1 位作者 Yu-Zhuo Zhou Ai-Dong Li 《World Journal of Clinical Cases》 SCIE 2024年第21期4673-4679,共7页
BACKGROUND Data from the World Health Organization’s International Agency for Research on Cancer reported that China had the highest prevalence of cancer and cancer deaths in 2022.Liver and pancreatic cancers account... BACKGROUND Data from the World Health Organization’s International Agency for Research on Cancer reported that China had the highest prevalence of cancer and cancer deaths in 2022.Liver and pancreatic cancers accounted for the highest number of new cases.Real-world data(RWD)is now widely preferred to traditional clinical trials in various fields of medicine and healthcare,as the traditional research approach often involves highly selected populations and interventions and controls that are strictly regulated.Additionally,research results from the RWD match global reality better than those from traditional clinical trials.AIM To analyze the cost disparity between surgical treatments for liver and pancreatic cancer under various factors.METHODS This study analyzed RWD 1137 cases within the HB1 group(patients who underwent pancreatectomy,hepatectomy,and/or shunt surgery)in 2023.It distinguished different expenditure categories,including medical,nursing,technical,management,drug,and consumable costs.Additionally,it assessed the contribution of each expenditure category to total hospital costs and performed cross-group comparisons using the non-parametric Kruskal–Wallis test.This study used the Steel–Dwass test for post-hoc multiple comparisons and the Spearman correlation coefficient to examine the relationships between variables.RESULTS The study found that in HB11 and HB13,the total hospitalization costs were significantly higher for pancreaticoduodenectomy than for pancreatectomy and hepatectomy.Although no significant difference was observed in the length of hospital stay between patients who underwent pancreaticoduodenectomy and pancreatectomy,both were significantly longer than those who underwent liver resection.In HB15,no significant difference was observed in the total cost of hospitalization between pancreaticoduodenectomy and pancreatectomy;however,both were significantly higher than those in hepatectomy.Additionally,the length of hospital stay was significantly longer for patients who underwent pancreaticoduodenectomy than for those who underwent pancreatectomy or liver resection.CONCLUSION China Healthcare Security Diagnosis Related Groups payment system positively impacts liver and pancreatic cancer surgeries by improving medical quality and controlling costs.Further research could refine this grouping system and ensure continuous effectiveness and sustainability. 展开更多
关键词 China health care security diagnosis-related groups Real-world study Liver cancer surgical treatment Pancreatic cancer surgical treatment Hospitalization costs Cost structure Average length of stay
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Cost of Stroke Care at Public Hospitals in Brazzaville and Implication of Third Parties in Stroke Care Expenditure 认领 引用 被引量：1
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作者 Josué Euberma Diatewa Ghislain Armel Mpandzou +3 位作者 Patrice Bruno Mokoko Dinah Happhia Boubayi Motoula-Latou Eliot Prince Galiéni Sounga-Banzouzi Paul Macaire Ossou-Nguiet 《World Journal of Neuroscience》 CAS 2022年第2期82-92,共11页
Background: Among the main challenges of healthcare system throughout the world, there is stroke management. It is important to have data on the in-hospital costs of stroke care to help decision-makers to implement a ... Background: Among the main challenges of healthcare system throughout the world, there is stroke management. It is important to have data on the in-hospital costs of stroke care to help decision-makers to implement a health insurance system. Objectives: To evaluate the in-hospital costs of stroke care in Brazzaville;to determine the factors influencing the total mean in-hospital cost of stroke care;to identify third parties contributing to stroke care expenditure. Methods: This was a cross-sectional prospective and analytical study. It was carried out at 4 public hospitals in Brazzaville (University Hospital Center, Chinese and Congolese Friendship Hospital, Talanga&#239; Hospital and Makélékélé Hospital), from May to August 2019 (4 months). It focused on patients who had a first episode of stroke confirmed by brain imaging and were at least 18 years old. The bottom-up approach was used to determine the in-hospital costs of stroke care. Results: This study included 109 patients who fulfilled inclusion criteria. Their mean age was 59.2 ± 13.7 years old, with limits of 35 and 90 years old. The total direct in-hospital cost of stroke care was 47,308,330 francs CFA (72,122 euro). The total mean in-hospital cost of stroke care was 1,389,590 francs CFA (2118 euro). The mean cost of intracerebral hemorrhage care was 510,988 francs CFA (779 euro) versus 373,457 francs CFA (569 euro) for cerebral arterial infarction care. The following factors affected the total mean cost of stroke care: type of hospital (p < 0.0001), length of hospital stay (p = 0.001), type of stroke (p = 0.01), stroke severity (p = 0.001) and complications (p = 0.001). The level of contribution to stroke care expenditure covered by third parties was: 78% for patient families;2.8% for community self-help associations. Conclusion: In Congo, the mean in-hospital cost of stroke care is elevated considering the guaranteed minimum wage of 70,000 francs CFA (107 euro). Five factors affect the total mean cost of stroke care. Patient families are the main financial assistance system for stroke care expenditure. To minimize the heavy financial burden induced by stroke on patients, households and families, it is important to implement a health insurance system and strengthen the stroke prevention program. 展开更多
关键词 Stroke Hospital Cost Associated Factors Brazzaville
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Discussion on Medical Consumable Management under Hospital Cost Accounting 认领 引用
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作者 CHEN Sicong 《外文科技期刊数据库（文摘版）医药卫生》 2021年第3期275-279,共5页
Under the influence of the rapid development of society, the development of medical cause has made good achievements. Medical consumables are more important materials for medical diagnosis, nursing and treatment, whic... Under the influence of the rapid development of society, the development of medical cause has made good achievements. Medical consumables are more important materials for medical diagnosis, nursing and treatment, which involve all kinds of drug materials and professional medical equipment for the treatment of patients. In recent years, driven by the rapid development of the medical industry, a large number of emerging medical consumables have been developed, and the proportion of hospital costs is gradually increasing, which makes the society pay more attention to this problem. The hospital financial accounting management system will set up a separate accounting subject for health materials, thus effectively improving the management level of medical consumables. However, under the influence of the rapid development of social economy, the scope of application of medical consumables is gradually expanding, and the problems existing in the hospital management mechanism are more and more prominent. In the current situation of large-scale rectification of the medical industry, how to continuously optimize and perfect the management mechanism of medical consumables, and effectively control the cost of medical consumables, we still need to conduct in-depth analysis and research. 展开更多
关键词 hospital cost accounting medical consumables management
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Comparative epidemiology and treatment outcomes at trauma centers:A cross-national analysis of the United States and China 认领 引用
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作者 Yong Fu Liu-Yi Fan +5 位作者 Xin-Jie Luo Lei Li Delbrynth P.Mitchao Kenji Inaba Guan-Qiao Liu Bin Yu 《Chinese Journal of Traumatology》 CAS CSCD 2025年第6期399-403,共5页
Purpose:Although there are significant differences between China and the United States(US)in trauma medical services,there has been no direct comparative research on the epidemiological data of trauma centers between ... Purpose:Although there are significant differences between China and the United States(US)in trauma medical services,there has been no direct comparative research on the epidemiological data of trauma centers between the 2 countries.This study aims to fill this research gap by directly comparing trauma centers in China and the US,providing valuable data and insights for the development of trauma centers in both countries,promoting academic exchange and cooperation internationally,and enhancing the level of global trauma medical care.Methods:This is a multicenter retrospective descriptive study.Data were collected for trauma patients with an injury severity score≥16 treated from September 2013 to September 2019 at 2 hospital trauma centers in these 2 countries.Detailed clinical data(including injury mechanism,age,injury site,injury severity score,pre-hospital transport time,whether blood transfusion was performed,whether resuscitative thoracotomy was conducted,hospital and intensive care unit stay duration,the number of organ donor patients,mortality rates,and costs)were meticulously compiled and retrospectively analyzed to identify differences between the 2 trauma centers.The comparison was conducted using SPSS 23 software.Continuous variables are reported as median(Q1,Q3),and Mann WhitneyU test is used to compare the median of continuous variables.Use clinically relevant critical points to classify continuous variables,with categorical variables represented asn(%),and comparisons were made between the 2 groups using the χ2 test or Fisher''s exact test.Statistical significance was defined as a 2-sidedp<0.05.Results:These results point to significant differences in trauma center capacity,pre-hospital transport times,treatment procedures,hospital stay duration,mortality rates,and costs between the 2 centers.The volume of patients in trauma centers is less in China(2465vs.5288).Pre-hospital transport time was notably longer in China(180 minvs.14 min),and the rate of emergency blood transfusions was lower in China(18.4%vs.50.6%),Emergency thoracotomy was not performed in China but was conducted in 9.8% of cases in the US.Hospitalization costs were significantly lower in China than in the US($5847vs.$75,671).Conclusion:There are clear differences in trauma center capacity(number of patients treated),pre-hospital transport time,age distribution of injured patients,injury mechanisms,injury sites,whether emergency thoracotomy is performed,hospital costs,and length of stay between the 2 trauma centers in China and America.Understanding these differences can help us further recognize the characteristics of Eastern and Western trauma patients. 展开更多
关键词 American China Trauma Prehospital transport time Hospitalization costs Mortality Trauma registry
Efficacy and safety of high protein intake in critically ill patients 认领 引用
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作者 Wei Wu Fei Leng +5 位作者 Minhui Dong Jieqiong Song Jincheng Zhang Fei Han Yiqi Qian Ming Zhong 《Chinese Medical Journal》 SCIE CAS CSCD 2025年第7期880-882,共3页
To the Editor:Intensive care unit-acquired weakness(ICU-AW)is a serious complication in critically ill patients,associated with prolonged mechanical ventilation(MV),extended ICU stays,increased hospitalization costs,a... To the Editor:Intensive care unit-acquired weakness(ICU-AW)is a serious complication in critically ill patients,associated with prolonged mechanical ventilation(MV),extended ICU stays,increased hospitalization costs,and higher mortality rates.Current research suggests that protein may be the most crucial substrate for maintaining muscle mass and physical function in critically ill patients and improving clinical outcomes.[1] 展开更多
关键词 mechanical ventilation mechanical ventilation mv extended high protein intake maintaining muscle mass physical function hospitalization costs critically ill patients intensive care unit acquired weakness mortality rates
Hospital length of stay and healthcare costs among African American women due to obesity and diabetic conditions in United States:A model for correlation studies comparing ethnicity,co-morbidities and hospital resources 认领 引用
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作者 Terris R.Moss 《Chronic Diseases and Translational Medicine》 CAS CSCD 2018年第4期244-253,共10页
Objective:To examine obesity and diabetes associations with United States hospital use and healthcare costs for African American women,to explore the relationship between co-morbidities of interest(obesity and diabete... Objective:To examine obesity and diabetes associations with United States hospital use and healthcare costs for African American women,to explore the relationship between co-morbidities of interest(obesity and diabetes)and hospital resources[length of stay(LOS)and costs].Methods:A retrospective,correlation,quantitative analysis for lengths of hospital stay and cost among adult African American women categorized according to their weight status with type 2 diabetes.Healthcare Cost and Utilization Project(HCUP)data which contains the Nationwide Inpatient Sample was used.Focused on 803,163 African American,female inpatients between the ages of 21 and 55 in the United States from 2008 to 2010.Researcher explored the relationship between individual health factors of interest(obesity and diabetes)and the effects on hospital LOS and healthcare costs.All statistical analysis will be performed using Stata v12.All inferential tests will be two-sided and will utilize a 95%significance level.Two separate multiple regressions will be used.Results:A total of 758,874 records were retained for analysis.The patients in the weighted population ranged in age from 21 to 55 years.The patient LOS ranged from 0 to 333 days.The patients had approximately 2 procedures on average,and presented with approximately 3 chronic conditions on average.The total charges(Cost)ranged from 106 to over 1 million US dollars.The size and direction of the relationship between LOS,healthcare costs and the independent variables of diabetes and obesity suggests that both LOS and health care cost decreased for African American female patients with diabetes or obesity.There is a statistically significant relationship between at least one of the individual health factors of interest(obesity and diabetes)and hospital LOS(F=13,394.00,P<0.0005,R2=0.440)and hospital costs(F=10,171.23,P<0.0005,R2=0.502).Conclusions:There is evidence of racial and ethnic disparities in health care quality in hospital treatment of African American patients.After accounting for social determinants and insurance statuses,African Americans may receive lower-quality care than the population at large.African Americans are admitted to the hospital,but services and LOS are shorter than the general population partially due to disparities in evaluating and offering treatment. 展开更多
关键词 Diabetes Obesity African American Length of stay Hospital costs
Efficiency analysis of stenting for acute colorectal obstruction 认领 引用 被引量：3
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作者 Zhang Na-na Li Peng Zhang Shu-tian 《Chinese Medical Journal》 SCIE CAS CSCD 2013年第21期4189-4191,共3页
Patients with colorectal cancer presenting with acute malignant colonic obstruction are approximately 10%-15% These patients are always in a poor general condition. Emergency surgery for acute obstructive colorectal c... Patients with colorectal cancer presenting with acute malignant colonic obstruction are approximately 10%-15% These patients are always in a poor general condition. Emergency surgery for acute obstructive colorectal cancer is associated with high complication rate and mortality and resulting long hospital stay and hospital cost. 展开更多
关键词 acute colonic obstruction hospital cost hospital stay survival self-expandable metallic stent
Determining the hospital cost of anterior epistaxis treatment modalities at a Canadian tertiary care centre 认领 引用
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作者 Harrish Nithianandan Kednapa Thavorn +3 位作者 Fatmahalzahra Banaz Kristian Macdonald Andrea Lasso Shaun J.Kilty 《World Journal of Otorhinolaryngology-Head and Neck Surgery》 CAS 2019年第4期193-199,共7页
Objective:To estimate the hospital costs of managing anterior epistaxis in the Emergency Department at a Tertiary Care centre in Canada.Material and methods:A cost analysis was conducted based on a retrospective revie... Objective:To estimate the hospital costs of managing anterior epistaxis in the Emergency Department at a Tertiary Care centre in Canada.Material and methods:A cost analysis was conducted based on a retrospective review of Emergency Department visits from January 2012 to May 2014.A consecutive sample of adult patients with a diagnosis of anterior epistaxis was included.Anterior epistaxis was managed via one of:Nasal clip,Merocel(R),Silver Nitrate cautery,Vaseline packing,other treatment or no treatment.Both the direct and indirect hospital costs(SCDN)for anterior epistaxis treatment were calculated from the hospital's perspective.Generalized linear models were used to assess the association between treatment modalities and total hospital costs while controlling for potential confounding factors.Results:Three hundred and fifty-three patients(49%female)with a mean age of(69.9±18.5)years were included in the analysis.The median(interquartile ranges)costs of treatment ranged from CS227.83(CS167.96,CS328.69)for observation to CS763.98(CS632.25,CS830.23)for Merocel(R).The overall median total hospital costs incurred across all modalities was CS566.24(CS459.61,CS753.46)for the management of anterior epistaxis.Silver Nitrate,nasal clip,and observation were statistically associated with a lower cost when compared to Merocel(R)(P<0.001)even after potential confounding factors were controlled.Conclusions:Our results show wide difference in the hospital cost of epistaxis across treatment modalities.These cost estimates can help inform future economic evaluation studies aiming to guide the allocation of health care resources for patients with epistaxis. 展开更多
关键词 Anterior epistaxis Nasal packing Cautery Silver nitrate Hospital costs
COMPARISON OF A SAMPLE OF GREEN HOSPITALS WITH NON-GREEN HOSPITALS WITH RESPECT TO OPERATING EXPENSES AND PATIENT REVENUE 认领 引用 被引量：1
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作者 Hessam Sadatsafavai John Walewski Michael Taborn 《Journal of Green Building》 EI 2014年第3期163-188,共26页
Concerns regarding the environmental impacts of hospitals have made the healthcare sector one of the most prominent settings for the green building movement.Despite these environmental concerns,the number of studies t... Concerns regarding the environmental impacts of hospitals have made the healthcare sector one of the most prominent settings for the green building movement.Despite these environmental concerns,the number of studies that document the benefits of sustainable healthcare facilities is limited.In this study,the authors used the Medicare and Medicaid cost report data to compare the financial performance of 14 Leadership in Energy and Environmental Design(LEED)certified hospitals against the average performance of non-green facilities.In line with studies conducted in other settings,the authors found that there are low and high performers among green hospitals.For this study,green hospitals had higher facility operating expenses than an average non-green hospital and spent more on plant operations.While green hospitals included in this study generated more revenue,the incomes were not high enough to validate the high operating expenses. 展开更多
关键词 LEED-certified hospitals financial performance hospital cost report Center for Medicare and Medicaid Services
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