关键词: Deliberate self-harm Direct cost Pesticide poisoning South India

来  源:   DOI:10.5005/jp-journals-10071-24239   PDF(Pubmed)

Abstract:
UNASSIGNED: Deliberate self-harm (DSH) in developing nations has a significant impact on health and economic conditions of patients and families.
UNASSIGNED: This retrospective study aims to study the cost of hospitalization and the factors affecting the cost of medical care. Adult patients with a diagnosis of DSH were included.
UNASSIGNED: A total of 107 patients were included with the most common type of poison consumed being pesticides (35.5%) followed by a tablet overdose (31.8%). There was a male preponderance with a mean (SD) age of 30.04 (9.03) years. The median cost of admission was ₹13,690 (USD 195.57); DSH with pesticide increased the cost of care by 67% as compared to non-pesticides. Other factors which increased the cost were need for intensive care, ventilation, use of vasopressors, and development of ventilator-associated pneumonia (VAP).
UNASSIGNED: Pesticide-based poisoning is the most frequent cause of DSH. Among different types of DSH, pesticide poisoning is associated with a higher direct cost of hospitalization.
UNASSIGNED: Barnabas R, Yadav B, Jayakaran J, Gunasekaran K, Johnson J, Pichamuthu K, et al. Direct Costs of Healthcare among Patients with Deliberate Self-harm: A Pilot Study from a Tertiary Care Hospital in South India. Indian J Crit Care Med 2022;26(7):836-838.
摘要:
未经评估:发展中国家的故意自我伤害(DSH)对患者和家庭的健康和经济状况具有重大影响。
UNASSIGNED:这项回顾性研究旨在研究住院费用以及影响医疗费用的因素。包括诊断为DSH的成年患者。
UNASSIGNED:共有107名患者被纳入,其中最常见的中毒类型是农药(35.5%),其次是片剂过量(31.8%)。男性占优势,平均(SD)年龄为30.04(9.03)岁。入学费用中位数为13,690卢比(195.57美元);与非农药相比,使用农药的DSH使护理费用增加了67%。其他增加成本的因素是需要重症监护,通风,使用血管升压药,和呼吸机相关性肺炎(VAP)的发展。
未经评估:农药中毒是引起DSH的最常见原因。在不同类型的DSH中,农药中毒与住院的直接费用较高有关。
未经批准:BarnabasR,YadavB,JayakaranJ,GunasekaranK,约翰逊J,PichamuthuK,etal.故意自残患者的直接医疗成本:来自印度南部三级医院的一项试点研究。印度JCritCareMed2022;26(7):836-838。
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