摘要
目的探讨伤害病人住院时间的影响因素,为减轻伤害患者的住院负担提供信息支持.方法抽取武汉市某医院1996-2000年伤害住院病案资料中15～59岁女性伤害住院病例,联合应用因子分析和Cox回归分析探讨住院时间的影响因素.结果筛选出的因素有手术与麻醉(P=0.0001, RR:0.561, 95%CI:0.521～0.604)、伤害类型(P=0.0001,RR:1.098, 95%CI:1.055～1.144)、抢救次数(P=0.0001, RR:1.315,95%CI:1.247～1.387)和转归结局(P=0.0001, RR:4.048,95%CI:3.690～4.442).除骨折和颅脑伤外的其他伤害、抢救次数少和转归好为缩短住院时间的有利因素.实施手术、手术次数对伤害病例住院时间产生影响,即手术次数越多住院时间越长.采取全麻的病人比其他麻醉方法住院时间长.结论伤害临床研究的重点应是'第一时间紧急救护'.病人入院后,及时确诊、正确的治疗,是保证病人治愈并缩短住院日的关键.
Objective To explore influential factors on the length of stay(LOS) of injuried inpatients among women aged 15~59 years, and to alleviate the burden of the inpatients. Methods The data for hospitalization injury cases was extracted from the medical report (TMR) management system (1996-2000) in one Wuhan hospital. The injury was categorized by ICD-9 and ICD-10. Factor analysis and COX proportional hazard model were combined to analyze the influential factors on the LOS. Results The four factors screened are surgery and anesthesia(P=0.0001, RR:0.561, 95%CI: 0.521~0.604), injury types(P=00001, RR:1098, 95%CI:1055~1144), rescue times(P=00001, RR:1315, 95%CI:1247~1387) and outcome(P=00001, RR:4048, 95%CI:3690~4442). The influential factors of the LOS were injuries type, injuries nature and body location of injury, rescue times and surgery, pattern of anesthesia and outcome. Taking operation, number of operation and general anesthesia lead to longer LOS. Conclusion The key to shorten the LOS were emergency care and first aid to injuried women and the correct treatment.
出处
《中国医院统计》
2005年第2期115-117,共3页
Chinese Journal of Hospital Statistics
