Investigation on the hospitalization expenses incurred by 362 cases of community acquired pneumonia / 中华医院管理杂志

ABSTRACT

Objective To discover the main factors influencing the hospitalization expenses incurred by cases of community acquired pneumonia(CAP). Methods The hospitalization expenses incurred by 362 cases of CAP treated by the Department of Respiratory Medicine of the authors hospital from 1999 to 2000 as well as the composition of the expenses, the expenses for testing pathogens and the use of antibiotics were analyzed retrospectively. And the influencing factors of the hospitalization expenses were studied by means of stepwise regression. Results The average CAP hospitalization expenses were 9 253 yuan, with the expenses for medicine accounting for 51.4%. Among the antibiotics used, ? lactam was most frequently used. Next came quinolone and macrolides. The expenses for testing CAP pathogens were high while the positive rate was low. The major factors influencing CAP hospitalization expenses were respectively length of stay, time of intravenous drip of antibiotics during hospitalization, incidence or no incidence of heavy pneumonia, and the number of basal disease entities(P