Research on standardized consumption of coronary stent implantation based on real-world data
10.19745/j.1003-8868.2025127
- VernacularTitle:基于真实世界数据的冠脉支架植入术标准化用耗研究
- Author:
Fen-fen YAN
1
;
Dao-xiong WANG
1
;
Bao-jiang HAN
1
Author Information
1. 华中科技大学同济医学院附属同济医院器材科,武汉 430030
- Publication Type:Journal Article
- Keywords:
real world data;
medical consumables management;
standardized consumption;
coronary stent implantation;
DRG
- From:
Chinese Medical Equipment Journal
2025;46(7):68-74
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the use of medical consumables involved in coronary stent implantation based on real-world data so as to provide ideas for standardized consumption management.Methods Totally 9 660 cases in the coronary stenting DRG of Hospital H were selected from 2023 to May 2024.Based on the analysis results of the variability of the consumption of the 4 major procedures in this group,intraoperative consumables with a unit price higher than 100 yuan for the top 2 procedures were discussed including coronary drug-coated stenting and drug-eluting coronary stenting,and the procedures were compared in terms of the utilization rate of optional and mandatory consumables and the number,cost and brand of different consumables used.Results The two procedures had high consistency in optional and mandatory consumables,and the costs of the optional consumables in the two procedures both accounted for more than 30%.Among the 19 types of consumables analyzed,17 ones had no statistically significant difference in the number of the consumables used for the two procedures(P>0.05),indicating that there was convergence in the number of the consumables used for different procedures;there were 11 types of consumables had significant differences in the cost for the two procedures(P<0.05),showing that the consumables had to be improved in specifications and brand selection.In terms of the 7 types of consumables selected by brand and number of user,each procedure did not have differences in the number while not in cost when different brands of consumables were chosen,indicating the consumables selected had statistical differences in the brand.Conclusion The standardized consumption study based on real-world data provides ideas for rationalizing the selection of consumables in departments,establishing a standard consumption catalog by the consumables management department and strengthening the review of rationalized use of medical consumables.[Chinese Medical Equipment Journal,2025,46(7):68-74]
