IATROGENIC RISKS AND FINANCIAL COSTS OF HOSPITALIZING FEBRILE INFANTS

IATROGENIC RISKS AND FINANCIAL COSTS OF HOSPITALIZING FEBRILE INFANTS
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DOI:
10.1001/archpedi.1983.02140380006003
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发表时间:
1983-01-01
影响因子:
--
通讯作者:
WILLIS, E
WILLIS, E
中科院分区:
其他
文献类型:
--
作者:
DEANGELIS, C;JOFFE, A;WILLIS, E

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根据诊断类别确定60天或以下发热婴儿住院所产生的医源性和财务费用。在所有入院患者中,37例(19.5%)发生48例单独并发症。在这些并发症中,29例(60.4%)是可以预防的,6例(12.5%)并发症发生在可能不需要住院治疗的婴儿中。在所有并发症中,24例(50%)是由静脉注射引起的。除并发症外,还发现了26例诊断性意外。所有婴儿的平均住院时间为7.0天,范围为2-28天。给出了1979- 1980年的平均住院费用以及细菌性和无菌性脑膜炎的费用范围。平均而言,25.6%的账单用于诊断研究,8.3%用于医生费用。
The iatrogenic and financial costs that arise from hospitalizing febrile infants 60 days of age or younger were identified by diagnostic categories. Of all admissions, 37 (19.5%) resulted in 48 separate complications. Of these complications, 29 (60.4%) were preventable, and 6 complications (12.5%) occurred in infants who probably did not require hospitalization for therapy. Of all complications, 24 (50%) resulted from i.v. therapy. In addition to the complications, 26 diagnostic misadventures were identified. The average length of hospitalization for all infants was 7.0 days, with a range of 2-28 days. The average cost of hospitalization in 1979-80 as well as the range of cost for bacterial and aseptic meningitis is given. On the average, 25.6% of the bill was for diagnostic studies and 8.3% for physician fees.