对有呼吸系统并发症的早产儿使用 Curosurf 表面活性剂--健康经济效益。

Anna Mihaylova, Kilova Kristina, Petya Kasnakova, Stanislav Gueorguiev, Petkova Gueorguieva, Desislava Bakova, Nikoleta Parahuleva
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引用次数: 0

摘要

背景:表面活性物质治疗呼吸综合征的实施,使该疗法成为新生儿重症治疗和呼吸复苏的革命性方法。调查这种治疗方法的成本非常重要:本研究旨在分析早产儿呼吸系统并发症患者应用表面活性物质 Curosurf 的数据,描述治疗成本、医疗资源利用情况,并评估使用表面活性物质治疗呼吸窘迫综合征(RDS)和透明膜病(HDM)新生儿的经济效益:根据早产导致的呼吸系统并发症和使用表面活性物质治疗的必要性,对 167 名婴儿进行了回顾性调查。调查采用了文献资料法,并为每位患者填写了一份单独的研究方案--一份专门为研究目的而制作的调查问卷:对使用 CUROSURF 的数据进行了分析,并将所获得的治疗结果与早产新生儿呼吸系统并发症的治疗支出、短期治疗效果、益处和后果进行了比较。对患有 RDS 的婴儿应用 CUROSURF 后,由于无需进行多项诊断和治疗程序以及缩短了住院时间,实现了净节约,从而确定了其健康经济效益:结论:成本效益评估模型显示,该药品价格昂贵,但从短期治疗效果来看效果显著。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Curosurf surfactant application on preterm babies with respiratory complications-health-economic benefits.

Background: The implementation of surfactant for respiratory syndrome approbates the therapy as a revolutionary method in intensive neonatal therapy and respiratory resuscitation. It is important to investigate the costs of this treatment.

Objective: The aim of the study is to analyze the data by the application of the surfactant Curosurf to preterm babies with respiratory complications and describe the treatment costs, healthcare resource utilization and evaluate economic benefits of surfactant use in the treatment of neonates with respiratory distress syndrome (RDS) and hyaline-membrane disease (HDM).

Methods: A retrospective survey was performed covering 167 babies based on respiratory complications due to preterm birth and the necessity to apply a surfactant therapy. A documentary method was implemented and for each patient, an individual research protocol was filled out - a questionnaire created specifically for the purposes of the study.

Results and discussion: An analysis of the data from the application of CUROSURF was made and the obtained therapeutic results were compared to expenditures for the therapy, short-term therapeutic effect, benefits and consequences of the therapy of preterm newborns with respiratory complications. The application of CUROSURF to babies with RDS resulted in the realization of net savings due to the elimination of the necessity of conducting several diagnostic and therapeutic procedures as well as their duration reduction of hospital stay, thus defining its health-economic benefits.

Conclusions: The models of evaluation of cost effectiveness reveal that the medicinal product is expensive but effective from the aspect of short-term therapeutic results.

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