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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Mortality and cost of pneumonia after stroke for different risk groups
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Mortality and cost of pneumonia after stroke for different risk groups

机译：中风后不同风险人群的死亡率和成本

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An evidenced-based approach to detecting and treating dysphagia needs to be informed by the costs and risks associated with pneumonia. In this study, the cost of pneumonia during hospitalization after stroke and the effect of pneumonia on mortality were estimated. The effect of pneumonia on mortality and costs for different levels of risk were analyzed as well. The data come from the 2005 and 2006 Nationwide Inpatient Sample. Regression models, including the propensity for pneumonia, were used to estimate the in-hospital mortality-associated pneumonia, as well as the marginal cost of pneumonia on the hospitalization. A stratified analysis based on quintile of propensity for pneumonia was also undertaken. There were 183,976 hospitalizations for stroke in the sample. The adjusted relative risk of death associated with pneumonia was 2.0 (95% confidence interval [CI], 1.9-2.1). The average marginal cost of pneumonia on the hospitalization was $27,633 (95% CI, $27,078-$27,988). The quintile of hospitalizations with the highest propensity for pneumonia had the highest average marginal cost associated with pneumonia and the lowest adjusted relative risk of death. There was an inverse relationship between adjusted relative risk of death and propensity for pneumonia. The data indicate that pneumonia after stroke is associated with higher mortality and hospitalization costs. Patients with the lowest risk for pneumonia have the highest risk for death associated with pneumonia. Screening is important at all levels of risk.
机译：需要从与肺炎相关的成本和风险中了解基于证据的吞咽困难的治疗方法。在这项研究中，估计了中风后住院期间的肺炎费用以及肺炎对死亡率的影响。还分析了肺炎对不同风险水平的死亡率和成本的影响。数据来自2005年和2006年全国住院患者样本。包括肺炎倾向在内的回归模型用于估计与院内死亡率相关的肺炎，以及肺炎住院的边际成本。还进行了基于五分之一的肺炎倾向的分层分析。样本中有183,976例因中风而住院。调整后的与肺炎有关的相对死亡风险是2.0（95％置信区间[CI]，1.9-2.1）。住院期间肺炎的平均边际成本为27,633美元（95％CI，27,078至27,988美元）。肺炎住院率最高的五分之一住院患者与肺炎相关的平均边际成本最高，而调整后的相对死亡风险最低。调整后的相对死亡风险与肺炎倾向之间存在反比关系。数据表明中风后的肺炎与较高的死亡率和住院费用有关。肺炎风险最低的患者与肺炎相关的死亡风险最高。筛查对于所有风险水平都很重要。

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