Healthcare-associated infection in a thoracic surgery ICU based on case mix index and relative weight of diagnosis-related groups
10.12138/j.issn.1671-9638.20244529
- VernacularTitle:基于DRGs病例组合指数和相对权重的胸外科ICU医院感染研究
- Author:
Hao JI
1
;
Yuan LIU
;
Jia YU
;
Ai-Mi HUANG
;
Jing ZHANG
;
Li-Shan LI
;
Xu-Min HOU
Author Information
1. 上海市胸科医院上海交通大学医学院附属胸科医院医院感染管理办公室,上海 200030
- Keywords:
diagnosis-related group;
healthcare-associated infection;
thoracic surgery ICU;
case mix index;
rela-tive weight
- From:
Chinese Journal of Infection Control
2024;23(1):78-85
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the correlation between healthcare-associated infection(HAI)and partial inde-xes in the diagnosis-related groups(DRGs)of patients in thoracic surgery intensive care unit(ICU).Methods DRGs,case mix index(CMI),relative weight(RW),and HAI of patients in thoracic surgery ICU and four subspe-cialty departments(pulmonary surgery group,esophageal surgery group,mediastinum group[mainly thymic sur-gery],and trachea group)in a tertiary chest hospital in Shanghai from January to December 2022 were retrospec-tively analyzed and compared through DRGs index grouping.Results A total of 1 429 patients in the department of thoracic surgery ICU were analyzed,including 59 HAI cases,with a HAI rate of 4.13％.The incidences of HAI in pulmonary surgery group,esophageal surgery group,mediastinum group and trachea group were 3.74％(30/803),5.84％(25/428),1.27％(2/157)and 4.88％(2/41),respectively.There was no statistically significant differ-ence in the incidences of HAI among different subspecialty groups(P＞0.05).A total of 35 DRGs were involved,with CMI of 2.75,3.41,2.35 and 1.25 in pulmonary surgery group,esophageal surgery group,mediastinum group and trachea group,respectively,and RW ranged from 0.53 to 12.62.In the pulmonary surgery group,inci-dence of HAI in male patients was higher than that in female patients.Higher RW score level was associated with higher incidence of HAI.Differences were all statistically significant(all P 0.05).Among patients in the esophageal surgery group,the age of HAI group was higher than that of the non-HAI group(P＜0.05).Higher RW score level was associated with higher incidence of HAI(P＜0.05).Among patients in the mediastinum sur-gery group,the age of patients in the infected group was higher than that in the non-infected group(P＜0.05).Among the 59 HAI cases,31 were infected with MDROs.Conclusion Focusing on CMI and RW in the DRGs in-dex system,analyzing HAI from the perspectives of disease complexity and overall technical difficulties of medical services can provide reference for the precise management of HAI in the new era.
