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某院住院超过30天患者分布特征及影响因素分析 被引量:8

Research of the Distribution Characteristics and Influencing Factors of Patients Staying over 30 Days
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摘要 目的对住院超过30天的患者进行分析,为缩短住院日提供对策。方法筛选导出医疗大数据平台2012年-2016年住院超过30天的患者共5775例进行分析。结果住院超过30天患者中男性3395人,占58.8%,女性2380人,占41.2%;平均年龄55.93±18.16;平均住院日为45.73±0.42天。主要入院途径为门诊,主要出院科室为普外科,所患疾病种类主要为肿瘤及肿瘤术后、消化系统疾病和循环系统疾病。医疗费用与住院天数呈正相关。影响住院天数的主要因素为年龄和婚姻状况。结论年龄越大、丧偶、全公费医疗付费方式、有手术的患者住院时间长,据此提出针对性的建议,减少患者住院天数。 Objective This research analyzed the patients of staying over 30 days and influencing factors,and provide evidence for the management departmentto shorten the average length of stay.Methods The data on 5775 patients from 2012 to 2016 was extracted from Medical big data center and analyzed.Results Among the patients hospitalized for more than 30 days,3,395 were male,accounting for 58.8%,and 2,380 were female,accounting for 41.2%.The mean age was 55.93±18.16.The mean hospital staying was 45.73±0.42 days.The main admission way was outpatient service,the main discharge department was the general surgery.The first three disease categories were tumor and postoperative tumor,digestive disease and circulatory disease.There were positive correlation between the medical expenses and the hospitalization days.The main influencing factors were age and marital status.Conclusion The patients who were the older,the widowed,the free medical insurance,having the surgery,had the longer hospital stay.So the targeted suggestions are proposed to shorten the hospital stay.
作者 郭燕青 齐昊 Guo Yanqing;Qi Hao(Department of Medical Big Data,First Hospital of Shanxi Medical University,Taiyuan 030001,Shanxi Province,China)
出处 《中国病案》 2020年第2期72-73,87,共3页 Chinese Medical Record
基金 山西省重点研发计划项目(201803D31099).
关键词 住院超过30天患者 平均住院日 分布特征 影响因素 Patients staying over 30 days Average length of stay Distribution characteristics Influencing factors
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