Economic burden of healthcare-associated infection in patients with severe acute pancreatitis:a study based on propensity score matching
10.12138/j.issn.1671-9638.20257249
- VernacularTitle:基于倾向性评分匹配的重症急性胰腺炎患者医院感染经济负担研究
- Author:
Ting LUO
1
;
Tianxin XIANG
;
Yun ZHOU
;
Qiong DENG
;
Yihui HUANG
;
Xiuhua KANG
;
Shengping XIAO
;
Shuizi PANG
Author Information
1. 南昌大学第一附属医院感染控制中心,江西南昌 330000
- Publication Type:Journal Article
- Keywords:
severe acute pancreatitis;
healthcare-associated infection;
economic burden;
disease diagnosis-related grouping;
propensity score matching
- From:
Chinese Journal of Infection Control
2025;24(8):1114-1119
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the economic burden caused by healthcare-associated infection(HAI)in patients with severe acute pancreatitis(SAP),and provide theoretical basis for formulating HAI prevention and control measures.Methods Patients with SAP discharged from a tertiary first-class hospital in Jiangxi Province from July 1,2023 to June 30,2024 were selected as the study subjects.Information including demographic characteristics,clinical data,and hospitalization expense were collected.Patients were divided into a HAI group and a non-HAI group according to HAI occurrence.A propensity score matching(PSM)method was used to conduct a 1∶2 ma-tching,and differences in the length of hospital stay and hospitalization expense between the two groups of patients after PSM were compared.Results A total of 709 patients were included in the analysis,out of which 65 cases ex-perienced HAI,with a HAI incidence of 9.17％.After PSM,all 65 patients in the HAI group were successfully matched.The length of hospital stay,total hospitalization expense,expenses of medication and hygiene product of patients in the HAI group were all higher than those in the non-HAI group,and differences were all statistically sig-nificant(all P＜0.001).Patients who experienced≥2 episodes of HAI had a higher economic burden than those who experienced only once(P＜0.05).HAI of bloodstream,abdomen,digestive system,and respiratory system significantly increased the economic burden of patients(all P＜0.05).Conclusion HAI in SAP patients can extend the length of hospital stay and increase economic burden of patients.Targeted infection prevention and control mea-sures should be formulated to reduce the incidence of HAI and save medical resources.
