Scholarlink

Background <p>To discuss the direct economic burden of Healthcare-associated Infection (HAI) in a hospital in Chengdu.</p> Methods <p>All patients enrolled in the Diagnosis Related Groups (DRGs) comprehensive evaluation and management system between January 1 and December 31, 2023, were categorized into two groups: those with a Healthcare-associated Infection (HAI) and those without. A 1:1 case matching was performed based on DRG classification, sex, and age (± 5 years). Differences in direct medical costs and length of stay (LOS) between the two groups were compared, followed by a subgroup analysis of infection-related economic burden across diagnostic categories.</p> Results <p>The HAI incidence rate was 0.92%, and the HAI rate per 1,000 patient days was 1.23‰ in 2023. 726 pairs of HAI cases and non-HAI cases were successfully matched. The direct cost of the HAI group was CNY 16,251.63(13244.10 ~ 19259.16) higher than the non-HAI group (1.91 times higher, <i>P</i> &lt; 0.001). The length of hospital stay in the HAI group was 10(8.58 ~ 11.42) days longer (1.71 times higher, <i>P</i> &lt; 0.001), with significant cost increases in treatment fees and Western medicine (<i>P</i> &lt; 0.001). Among all Major Diagnostic Categories (MDCs), the infection and parasitic diseases group incurred the largest economic burden. For HAI patients with sepsis or severe sepsis requiring ≥ 96&#xa0;h of mechanical ventilation, the total cost was CNY 80,162.31(27439.11 ~ 132885.51) higher than non-HAI patients (<i>P</i> = 0.003), and hospitalization duration increased by 17.5(5.99 ~ 29.01) days (<i>P</i> = 0.003).</p> Conclusions <p>In conclusion, implementing scientifically classified DRGs in HAI management provides a strategic framework for advancing precision-oriented healthcare administration.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Study of the direct medical economic burden of patients with healthcare-associated infection based on DRGs matching

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年5月16日

查看全文
  • Yujing Zhang,
  • Zhenhua Duan,
  • Zhenhan Mo,
  • Jianjun Xu,
  • Han Zhang

摘要

Background

To discuss the direct economic burden of Healthcare-associated Infection (HAI) in a hospital in Chengdu.

Methods

All patients enrolled in the Diagnosis Related Groups (DRGs) comprehensive evaluation and management system between January 1 and December 31, 2023, were categorized into two groups: those with a Healthcare-associated Infection (HAI) and those without. A 1:1 case matching was performed based on DRG classification, sex, and age (± 5 years). Differences in direct medical costs and length of stay (LOS) between the two groups were compared, followed by a subgroup analysis of infection-related economic burden across diagnostic categories.

Results

The HAI incidence rate was 0.92%, and the HAI rate per 1,000 patient days was 1.23‰ in 2023. 726 pairs of HAI cases and non-HAI cases were successfully matched. The direct cost of the HAI group was CNY 16,251.63(13244.10 ~ 19259.16) higher than the non-HAI group (1.91 times higher, P < 0.001). The length of hospital stay in the HAI group was 10(8.58 ~ 11.42) days longer (1.71 times higher, P < 0.001), with significant cost increases in treatment fees and Western medicine (P < 0.001). Among all Major Diagnostic Categories (MDCs), the infection and parasitic diseases group incurred the largest economic burden. For HAI patients with sepsis or severe sepsis requiring ≥ 96 h of mechanical ventilation, the total cost was CNY 80,162.31(27439.11 ~ 132885.51) higher than non-HAI patients (P = 0.003), and hospitalization duration increased by 17.5(5.99 ~ 29.01) days (P = 0.003).

Conclusions

In conclusion, implementing scientifically classified DRGs in HAI management provides a strategic framework for advancing precision-oriented healthcare administration.