Kimberly H. Khoo, C. D. Lopez, Krissia M. Rivera Perla, Cynthia T. Yusuf, Joseph Lopez, R. Redett, Robin Yang
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引用次数: 0
摘要
越来越重视降低医疗保健费用,导致唇裂和腭裂相关手术的门诊率上升。本研究旨在描述与唇裂修复和相关手术相关的患者和医院特征,并评估这些特征与接受住院唇裂手术的患者的差异。数据来自2016 - 2018年全国住院患者样本(NIS)和2016 - 2018年全国门诊手术样本(NASS),数据来自医疗保健研究与质量机构(AHRQ)医疗保健成本与利用项目(HCUP)。检索数据库中描述唇裂和腭裂相关手术的国际疾病分类第十版、临床修改(ICD-10-CM)代码和现行程序术语(CPT)代码。所描述的变量分为患者人口统计学和医院特征两组。共有271例患者来自NIS, 3122例患者来自NASS。在这两种情况下,用于唇裂手术的最常见的保险是医疗补助(46.7%对50.7%);腭裂也是如此(50.7% vs 53.5%)。基于邮政编码的收入四分位数的分布在两种唇裂手术的设置之间是相似的。医院的地理位置和教学状况以城市教学医院为主。本研究表明,住院和门诊唇裂手术的患者和医院特征相似。患者主要来自两个收入较低的四分之一,并参加了医疗补助计划。更细致的研究确定了唇腭裂人群健康的社会决定因素,可能会改善对这些患者的护理。
Cleft Lip and Palate Care: A Healthcare Cost and Utilization Project Analysis
Increasing emphasis on reduction of healthcare costs has caused rates of outpatient cleft lip and palate-related procedures to rise. This study aims to describe patient and hospital characteristics associated with cleft repair and related surgeries and to assess differences in these characteristics against those undergoing inpatient cleft procedures. Data was collected from the 2016 to 2018 National Inpatient Sample (NIS) and the 2016 to 2018 Nationwide Ambulatory Surgery Sample (NASS) from the Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality (AHRQ). The databases were queried for International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes and Current Procedural Terminology (CPT) codes, respectively, describing cleft lip and palate-related procedures. Variables described were categorized into 2 main groups of patient demographics and hospital characteristics. A total of 271 patients were included from the NIS and 3122 patients from the NASS. In both settings, the most common insurance used for cleft lip surgeries was Medicaid (46.7% vs 50.7%); the same was true for cleft palate (50.7% vs 53.5%). The distribution of zip code-based income quartiles was similar between settings for both cleft procedures. The most common location and teaching status of the hospitals was urban, teaching hospitals. This study demonstrates that patient and hospital characteristics are similar between inpatient and outpatient cleft surgeries. Patients were primarily in the 2 lower income quartiles and enrolled in Medicaid. More granular studies defining the social determinants of health in the cleft lip and palate populations may improve care for these patients.
期刊介绍:
Head & Face Medicine is a multidisciplinary open access journal that publishes basic and clinical research concerning all aspects of cranial, facial and oral conditions.
The journal covers all aspects of cranial, facial and oral diseases and their management. It has been designed as a multidisciplinary journal for clinicians and researchers involved in the diagnostic and therapeutic aspects of diseases which affect the human head and face. The journal is wide-ranging, covering the development, aetiology, epidemiology and therapy of head and face diseases to the basic science that underlies these diseases. Management of head and face diseases includes all aspects of surgical and non-surgical treatments including psychopharmacological therapies.