中国感染控制杂志2025，Vol.24Issue(4)：518-525,8.DOI:10.12138/j.issn.1671-9638.20256480
胸外科达芬奇机器人术后医院感染经济损失——一项基于倾向性评分匹配的回顾性研究
Economic losses due to healthcare-associated infection after Da Vinci ro-botic thoracic surgery:a retrospective study based on propensity score matching
摘要
Abstract
Objective To understand the economic losses due to healthcare-associated infection(HAI)in patients after Da Vinci robotic thoracic surgery,and provide basis for preventing and controlling HAI after robotic surgery.Methods Patients who underwent Da Vinci robotic surgery from April 2019 to April 2023 were retrospective stu-died.Patients were divided into HAI group and non-HAI group based on the occurrence of postoperative infection.Through 1∶1 propensity score matching(PSM),31 cases were included in each group,economic losses of two groups of patients were compared.Results A total of 921 patients who underwent Da Vinci robotic thoracic surgery were included in the study,51 cases with HAI(HAI group)and 870 without HAI(non-HAI group).After 1∶1 PSM,31 cases were included in each group.Four covariates were compared between two groups of patients before PSM,namely gender,age,comorbidities,and the American Society of Anesthesiologists(ASA)grading,all with statistically significant differences(all P＜0.05).After PSM,distribution of the above covariates reached equilib-rium between the two groups(both P＞0.05).The median total expense for HAI group before PSM during hospi-talization was 88 711.72 Yuan,while 78 509.46 Yuan for the non-HAI group.The direct economic losses caused by HAI after Da Vinci robot surgery was 10 202.26 Yuan,mainly increased by expense of medicine,nursing,laborato-ry diagnosis,etc.Difference in western medicine expense was the highest(8 839.12 Yuan),out of which expense of antimicrobial agents accounted for the highest proportion(73.55％).Difference in daily hospitalization expense between HAI-group and non-HAI group was 502.38 Yuan.Length of hospital stay of patients in HAI group and non-HAI group were(21.59±10.62)and(13.92±9.21)days,respectively,with statistical differences(all P＜0.05).Conclusion The occurrence of HAI in patients undergoing Da Vinci robotic thoracic surgery leads to direct economic losses,with obvious increases in expenses of nursing,laboratory diagnosis,western medicine(mainly an-timicrobial agents).Length of hospital stay of patients also prolongs.关键词
手术后感染/医院感染/经济损失/达芬奇机器人/胸外科/倾向性评分匹配Key words
postoperative infection/healthcare-associated infection/economic loss/Da Vinci robot/thoracic sur-gery/propensity score matching分类
医药卫生引用本文复制引用
张丽伟,狄佳,陶源,冯诚怿,朱丽丽,金丹,江淑芳..胸外科达芬奇机器人术后医院感染经济损失——一项基于倾向性评分匹配的回顾性研究[J].中国感染控制杂志,2025,24(4):518-525,8.基金项目
国家自然科学基金青年项目(81502002) （81502002）
常州市卫健委青年人才项目(QN202019、QN202355) （QN202019、QN202355）
江苏省现代医院管理研究中心医院管理研究立项课题(JSY-3-2019-098) （JSY-3-2019-098）
