Medically unnecessary hospital use in children seropositive for human immunodeficiency virus.
Medically unnecessary hospital use in children seropositive for human immunodeficiency virus.
复制标题
人类免疫缺陷病毒血清反应呈阳性的儿童在医疗上不必要的医院使用。
DOI：
10.1001/jama.1988.03410130114035
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发表时间：
1988
期刊：
影响因子：
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通讯作者：
Brian W.C. Forsyth
中科院分区：
文献类型：
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作者：
Kathi J. Kemper;Brian W.C. Forsyth
刺激的报告，一些儿童谁是血清阳性的人类免疫缺陷病毒（HIV+）已被遗弃在医院，我们研究的程度和原因，医疗上不必要的医院使用在耶鲁-纽黑文（康涅狄格州）医院的HIV+儿童。我们回顾了1987年10月31日之前住院的所有HIV阳性儿童的住院情况。如果不符合儿科适当性评价方案的任何标准，则认为住院日是不必要的。在符合研究条件的34名儿童中，54%的住院日被认为是医学上不必要的; 59%的儿童至少有一天这样的日子。不必要的使用是100%的一天停留（所有的丙种球蛋白输注）和58%的停留超过三周，与94%的这些不必要的天是继发于安置问题。由于门诊服务和寄养服务的改善，不必要的住院日从1983年和1984年的64%下降到1987年的30%。改善医疗和社会服务可以大大减少艾滋病毒阳性儿童在医疗上不必要的住院治疗费用。
Stimulated by reports that some children who are seropositive for human immunodeficiency virus (HIV+) have been abandoned in the hospital, we studied the extent of, and reasons for, medically unnecessary hospital use at Yale-New Haven (Conn) Hospital among HIV+ children. We reviewed inpatient stays for all HIV+ children hospitalized through Oct 31, 1987. Hospital days were judged to be unnecessary if they failed to meet any of the criteria on the Pediatric Appropriateness Evaluation Protocol. Among 34 children eligible for the study, 54% of their hospital days were judged medically unnecessary; 59% of the children had at least one such day. Unnecessary use was 100% for one-day stays (all for gamma-globulin infusions) and 58% for stays longer than three weeks, with 94% of those unnecessary days being secondary to placement problems. The rate of unnecessary days has declined from 64% of all hospital days in 1983 and 1984 to 30% in 1987 as a result of improved outpatient services and access to foster care. Improved medical and social services could substantially reduce the cost of medically unnecessary hospital care in HIV+ children.