Article(id=1322246486671348717, tenantId=1146029695717560320, journalId=1235980733773295621, issueId=1322246421869346895, articleNumber=null, orderNo=null, doi=null, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=null, receivedDateStr=null, revisedDate=null, revisedDateStr=null, acceptedDate=1603468800000, acceptedDateStr=2020-10-24, onlineDate=1793177728573, onlineDateStr=2026-10-28, pubDate=1624982400000, pubDateStr=2021-06-30, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793177728573, onlineIssueDateStr=2026-10-28, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793177728573, creator=13701087609, updateTime=1793177728573, updator=13701087609, issue=Issue{id=1322246421869346895, tenantId=1146029695717560320, journalId=1235980733773295621, year='2021', volume='30', issue='12', pageStart='1057', pageEnd='1152', issueExtLink='null', onlineDate='null', pubDate='1624982400000', pubDateStr='2021-06-30', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1793177713123, creator='13701087609', updateTime=1793178158604, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1322248290402414824, tenantId=1146029695717560320, journalId=1235980733773295621, issueId=1322246421869346895, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1322248290402414825, tenantId=1146029695717560320, journalId=1235980733773295621, issueId=1322246421869346895, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=1147, endPage=1152, ext={EN=ArticleExt(id=1322246487023670254, articleId=1322246486671348717, tenantId=1146029695717560320, journalId=1235980733773295621, language=EN, title=An analysis of medical resource utilization in intra-abdominal infectious patients treated with latamoxef, columnId=null, journalTitle=Chinese Journal of New Drugs, columnName=null, runingTitle=null, highlight=null, articleAbstract=
Objective:

To compare the difference of medical resource utilization in intra-abdominal infectious patients administered with latamoxef, third-generation cephalosporins, β-lactamase inhibitor compound preparations and carbapenems, and help clinicians improve their treatment strategies.

Methods:

Based on data from Hospital Information System, a 1∶1 non-replacement propensity score matching (PSM) method was performed to match participants with similar propensity scores between different groups, and the matched participants were adopted to compare their difference in medical resource utilization.

Results:

A total of 4 433 patients were included in this study. 292 pairs of patients administered with latamoxef or third-generation cephalosporins were matched by PSM. The average cost of antibiotics in the latamoxef group was 1 498.6 yuan higher than that in the third-generation cephalosporins group (P<0.05). 303 pairs of patients administered with latamoxef or β-lactamase inhibitor compound preparations were matched by PSM. Compared with the β-lactamase inhibitor compound preparations group, the average cost of hospitalization was 12 250.9 yuan lower and the average duration of hospitalization was 2.6 days shorter in the latamoxef group (P<0.05). 256 pairs of patients administered with latamoxef or carbapenems were matched by PSM. Compared with the carbapenems group, the average cost of antibiotics was 1 470.4 yuan lower, the average cost of hospitalization was 33210.9 yuan lower, the average duration of hospitalization was 6.1 days shorter and the mean ICU days was 1.4 days shorter in the latamoxef group (P<0.05).

Conclusion:

In terms of treating intra-abdominal infection, patients administered with latamoxef showed less medical resource utilization when compared with those with β-lactamase inhibitor compound preparations and carbapenems, and they showed relatively similar medical resource utilization when compared to those with third-generation cephalosporins.

, authors=Xun-liang TONG1, Ruo-wei XIAO2, Wei LI2, Chun-ying ZENG3, Jian-mei WU4, Sheng HAN2, authorsList=Xun-liang TONG, Ruo-wei XIAO, Wei LI, Chun-ying ZENG, Jian-mei WU, Sheng HAN, authorCompany=null, correspAuthors=Sheng HAN, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1322246487271134191, articleId=1322246486671348717, tenantId=1146029695717560320, journalId=1235980733773295621, language=CN, title=拉氧头孢治疗腹腔感染的医疗资源使用分析, columnId=1236331163573342670, journalTitle=中国新药杂志, columnName=药物安全与合理应用, runingTitle=null, highlight=null, articleAbstract=
目的:

比较腹腔感染患者使用拉氧头孢、第3代头孢菌素类、β-内酰胺酶抑制剂合剂、碳青霉烯类抗生素的医疗资源使用差异,以期为临床医生优化治疗方案提供参考。

方法:

利用医院信息系统数据,使用1∶1无放回倾向得分匹配方法筛选基线可比患者,采用匹配后的样本分析组间医疗资源使用差异。

结果:

本文共纳入4 433例样本,倾向得分匹配法(PSM)之后,拉氧头孢组与第3代头孢菌素组成功匹配样本292对,匹配后,拉氧头孢组的次均处方费用比第3代头孢菌素组高1 498.6元(P<0.05);拉氧头孢组与β-内酰胺酶抑制剂合剂组成功匹配样本303对,匹配后,与β-内酰胺酶抑制剂合剂组相比,拉氧头孢组的次均住院总费用低12 250.9元,次均住院天数少2.6 d(均P<0.05);拉氧头孢组与碳青霉烯组成功匹配样本256对,匹配后,与碳青霉烯组相比,拉氧头孢组的次均处方费用低1 470.4元,次均住院总费用低33 210.9元,次均住院天数少6.1 d,次均ICU天数少1.4 d(均P<0.05)。

结论:

腹腔感染患者使用拉氧头孢治疗时比使用β-内酰胺酶抑制剂合剂和碳青霉烯类药物时占用的医疗资源更少,与第3代头孢菌素类药物相比,两者的医疗资源使用情况基本相当。

, authors=佟训靓1, 肖若薇2, 李薇2, 曾春颖3, 吴健梅4, 韩晟2, authorsList=佟训靓, 肖若薇, 李薇, 曾春颖, 吴健梅, 韩晟, authorCompany=null, correspAuthors=韩晟, authorNote=

佟训靓,女,博士,主治医师,主要从事感染性疾病临床诊治。E-mail:。

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韩晟,男,博士,研究员,研究方向:卫生政策研究,药物经济学、大数据分析。E-mail:。
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拉氧头孢治疗腹腔感染的医疗资源使用分析
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佟训靓 1 , 肖若薇 2 , 李薇 2 , 曾春颖 3 , 吴健梅 4 , 韩晟 2
中国新药杂志 | 药物安全与合理应用 2021,30(12): 1147-1152
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中国新药杂志 |药物安全与合理应用 2021 , 30 (12) : 1147 -1152
拉氧头孢治疗腹腔感染的医疗资源使用分析
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佟训靓1 , 肖若薇2, 李薇2, 曾春颖3, 吴健梅4, 韩晟2
作者信息
  • 1北京医院呼吸与危重症医学科,国家老年医学中心,中国医学科学院老年医院研究院,北京 100730
  • 2北京大学医药管理国际研究中心,北京大学药学院,北京 100191
  • 3首都医科大学附属复兴医院,北京 100038
  • 4福建医科大学附属三明第一医院,三明 365000
通讯作者:
韩晟,男,博士,研究员,研究方向:卫生政策研究,药物经济学、大数据分析。E-mail:。
作者简介:

佟训靓,女,博士,主治医师,主要从事感染性疾病临床诊治。E-mail:。

An analysis of medical resource utilization in intra-abdominal infectious patients treated with latamoxef
Xun-liang TONG1 , Ruo-wei XIAO2, Wei LI2, Chun-ying ZENG3, Jian-mei WU4, Sheng HAN2
Affiliations
  • 1Department of Pulmonary and Critical Care Medicine, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China
  • 2International Research Center for Medicinal Administration, Peking University, School of Pharmaceutical Sciences, Peking University, Beijing 100191, China
  • 3Fu Xing Hospital, Capital Medical University, Beijing 100038, China
  • 4Sanming First Hospital, Fujian Medical University, Sanming 365000, China
出版时间: 2021-06-30
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目的:

比较腹腔感染患者使用拉氧头孢、第3代头孢菌素类、β-内酰胺酶抑制剂合剂、碳青霉烯类抗生素的医疗资源使用差异,以期为临床医生优化治疗方案提供参考。

方法:

利用医院信息系统数据,使用1∶1无放回倾向得分匹配方法筛选基线可比患者,采用匹配后的样本分析组间医疗资源使用差异。

结果:

本文共纳入4 433例样本,倾向得分匹配法(PSM)之后,拉氧头孢组与第3代头孢菌素组成功匹配样本292对,匹配后,拉氧头孢组的次均处方费用比第3代头孢菌素组高1 498.6元(P<0.05);拉氧头孢组与β-内酰胺酶抑制剂合剂组成功匹配样本303对,匹配后,与β-内酰胺酶抑制剂合剂组相比,拉氧头孢组的次均住院总费用低12 250.9元,次均住院天数少2.6 d(均P<0.05);拉氧头孢组与碳青霉烯组成功匹配样本256对,匹配后,与碳青霉烯组相比,拉氧头孢组的次均处方费用低1 470.4元,次均住院总费用低33 210.9元,次均住院天数少6.1 d,次均ICU天数少1.4 d(均P<0.05)。

结论:

腹腔感染患者使用拉氧头孢治疗时比使用β-内酰胺酶抑制剂合剂和碳青霉烯类药物时占用的医疗资源更少,与第3代头孢菌素类药物相比,两者的医疗资源使用情况基本相当。

拉氧头孢  /  腹腔感染  /  医疗资源使用  /  倾向得分匹配法
Objective:

To compare the difference of medical resource utilization in intra-abdominal infectious patients administered with latamoxef, third-generation cephalosporins, β-lactamase inhibitor compound preparations and carbapenems, and help clinicians improve their treatment strategies.

Methods:

Based on data from Hospital Information System, a 1∶1 non-replacement propensity score matching (PSM) method was performed to match participants with similar propensity scores between different groups, and the matched participants were adopted to compare their difference in medical resource utilization.

Results:

A total of 4 433 patients were included in this study. 292 pairs of patients administered with latamoxef or third-generation cephalosporins were matched by PSM. The average cost of antibiotics in the latamoxef group was 1 498.6 yuan higher than that in the third-generation cephalosporins group (P<0.05). 303 pairs of patients administered with latamoxef or β-lactamase inhibitor compound preparations were matched by PSM. Compared with the β-lactamase inhibitor compound preparations group, the average cost of hospitalization was 12 250.9 yuan lower and the average duration of hospitalization was 2.6 days shorter in the latamoxef group (P<0.05). 256 pairs of patients administered with latamoxef or carbapenems were matched by PSM. Compared with the carbapenems group, the average cost of antibiotics was 1 470.4 yuan lower, the average cost of hospitalization was 33210.9 yuan lower, the average duration of hospitalization was 6.1 days shorter and the mean ICU days was 1.4 days shorter in the latamoxef group (P<0.05).

Conclusion:

In terms of treating intra-abdominal infection, patients administered with latamoxef showed less medical resource utilization when compared with those with β-lactamase inhibitor compound preparations and carbapenems, and they showed relatively similar medical resource utilization when compared to those with third-generation cephalosporins.

latamoxef  /  intra-abdominal infection  /  medical resource utilization  /  propensity score matching
佟训靓, 肖若薇, 李薇, 曾春颖, 吴健梅, 韩晟. 拉氧头孢治疗腹腔感染的医疗资源使用分析. 中国新药杂志, 2021 , 30 (12) : 1147 -1152 .
Xun-liang TONG, Ruo-wei XIAO, Wei LI, Chun-ying ZENG, Jian-mei WU, Sheng HAN. An analysis of medical resource utilization in intra-abdominal infectious patients treated with latamoxef[J]. Chinese Journal of New Drugs, 2021 , 30 (12) : 1147 -1152 .

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2021年第30卷第12期
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  • 首发时间:2026-10-28
  • 出版时间:2021-06-30
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  • 录用日期:2020-10-24
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    1北京医院呼吸与危重症医学科,国家老年医学中心,中国医学科学院老年医院研究院,北京 100730
    2北京大学医药管理国际研究中心,北京大学药学院,北京 100191
    3首都医科大学附属复兴医院,北京 100038
    4福建医科大学附属三明第一医院,三明 365000

通讯作者:

韩晟,男,博士,研究员,研究方向:卫生政策研究,药物经济学、大数据分析。E-mail:。
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2种不同金属材料的力学参数
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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