2012-2017 年澳大利亚与急性风湿热和风湿性心脏病相关的住院模式和费用。

Ingrid Stacey, Judith Katzenellenbogen, Joseph Hung, Rebecca Seth, Carl Francia, Bradley MacDonald, James Marangou, Kevin Murray, Jeffrey Cannon
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引用次数: 0

摘要

本研究旨在描述与急性风湿热(ARF)/风湿性心脏病(RHD)相关的住院治疗模式和趋势,以及澳大利亚老年人的相关费用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pattern of hospital admissions and costs associated with acute rheumatic fever and rheumatic heart disease in Australia, 2012-2017.

Objective This study aims to describe the pattern and trends in acute rheumatic fever (ARF)/rheumatic heart disease (RHD)-related hospitalisations and costs for Australians aged <65 years. Methods This retrospective linked data study measured trends in hospitalisations and costs for ARF, RHD and complications of ARF/RHD in Northern Territory, South Australia, Western Australia, Queensland and New South Wales between 1 July 2012 and 30 June 2017. Persons with ARF/RHD were identified from RHD registers and/or hospital records. Results Over the 5-year study period, 791 children, aged <16years (86.3% Indigenous), and 2761 adults, aged 16-64years (44.8% Indigenous), were hospitalised for ARF, RHD or associated complications. On average there were 296 paediatric admissions per year, increasing 6.1% annually (95% CI: 2.4-9.6%, P =0.001) and 1442 adult admissions per year, increasing 1.7% annually (95% CI: 0.1-3.4%, P =0.03). Total 5-year costs were AU$130.6m (AU$17.6m paediatric, AU$113.0m adult). Paediatric costs were mostly for ARF-related admissions whereas adult costs mostly involved valvular surgery. Emergency admissions and air ambulance transfers were common, particularly for non-metropolitan residents. Conclusions Successful ARF/RHD prevention would deliver significant hospital cost savings. Investment in primary and specialist health care in regional areas may reduce emergency admissions and regional transfers, further reducing hospital burden.

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