Comparative evaluation of the clinicoeconomic efficiency of treatment in patients with tuberculosis at hospital and when using hospital replacement technologies

Autor: Yu. M. Markelov, Yu. S. Kononenko, M. R. Voishnis, L. V. Doeva
Jazyk: ruština
Rok vydání: 2015
Předmět:
Zdroj: Туберкулез и болезни лёгких, Vol 0, Iss 2, Pp 32-38 (2015)
Druh dokumentu: article
ISSN: 2075-1230
2542-1506
DOI: 10.21292/2075-1230-2015-0-2-32-38
Popis: The clinicoeconomic efficiency of Stage 1 chemotherapy (CT) using different organizational forms of treatment was comparatively evaluated in 172 patients with new-onset pulmonary tuberculosis. The main reasons for ineffective CT were discontinued treatment (27.1 to 10.5%) and a fatal outcome (13.8% at an around-the-clock hospital). Home hospital treatment showed the lowest rate of discontinued and refused treatments (10.5%). The cost of Stage 1 CT (90 bed-days) at an around-the-clock hospital was 49,339 rubles. The highest clinicoeconomic efficiency of Stage 1 CT was noted during home hospital treatment: the rate of discontinued treatment was 2.3-2.5 times lower than that at a day hospital and around-the-clock hospital and the cost of ceased bacterial discharge verified by sputum microscopy was 8,501 rubles, which was 6.2 times less than that at an around-the-clock hospital and almost less than that at a day hospital.
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