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去骨瓣减压术成本效用分析
引用本文:袁强,刘华,孙一睿,吴惺,胡锦.去骨瓣减压术成本效用分析[J].卫生经济研究,2012(10):35-39.
作者姓名:袁强  刘华  孙一睿  吴惺  胡锦
作者单位:上海交通大学附属第六人民医院;江苏大学附属昆山市第一人民医院;复旦大学附属华山医院
摘    要:研究颅脑创伤患者为挽救生命行去骨瓣减压术的成本效用。结果显示,患者每增加一年寿命所需的费用平均为14591.79元,而每增加一个质量调整寿命年所需的费用平均为38915.19元;患者的年寿命住院费用和质量调整寿命年住院费用随预后不良风险的增高而逐渐增加,因此对不良预后风险高的患者行去骨瓣减压术的成本效用低。

关 键 词:颅脑创伤  去骨瓣减压术  成本效用  预后

Cost-utility analysis of decompressive hemicraniectomy
YUAN Qiang,LIU Hua,SUN Yi-rui,WU Xing,HU Jin.Cost-utility analysis of decompressive hemicraniectomy[J].Health Economics Research,2012(10):35-39.
Authors:YUAN Qiang  LIU Hua  SUN Yi-rui  WU Xing  HU Jin
Institution:1.Shanghai Jiao Tong University Affiliated Sixth People’s Hospital,Shanghai 200233,China;2.Jiangsu University affiliated Kunshan First People’s Hospital,Jiangsu Kunshan 215300,China;3.Fudan University affiliated Huashan Hospital,Shanghai 200040,China)
Abstract:We conducted the cost-utility analysis of decompressive hemicraniectomy.The results showed that increasing one year life of a patient costs 14591.79 RMB,and one QALY costs 38915.19 RMB.These inpatient medical costs will increase when the risk of poor prognosis increases.It has low cost-utility that patient with high risk of poor prognosis has decompressive hemicraniectomy.
Keywords:craniocerebral trauma  decompressive hemicraniectomy  cost-utility analysis  prognosis
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