期刊文献+

重庆大坪医院脑梗死急性期住院费用的构成和预测 被引量:4

Study on Composition and Predictors of Medical Cost of Patient with Acute Ischemic Stroke in Daping Hospital Chongqing
下载PDF
导出
摘要 目的确定重庆大坪医院脑梗死病人急性期住院费用的构成比及其影响因子。方法收集311名在重庆大坪医院神经内科因急性脑梗死住院病人的人文资料、临床资料、住院费用、收费成本比,用逐步回归分析筛选影响住院费用的主要预测因素。结果平均住院天数14 d,平均住院费用6 130元。其中药品费占53.1%,床位费占7.9%,检查费占25.6%,其他治疗费占11.1%。住院费用的影响因子最主要的为NIHSS评分(NIHSS美国国立卫生院卒中评分量表),其余为并发肺部感染、住院天数、住院2 w ADL评分(生活自理量表)。结论药品费可以说明大部分住院费用。住院费用主要影响因素为NIHSS评分、并发肺部感染、住院天数、住院2 w的ADL,其中NIHSS评分为住院费用最重要的影响因子。 Objective To determine the composition of medical cost of patients with acute ischemic stroke and related factors of medical cost. Methods The author collected demographic data,medical cost et al of 311 patients with acute ischemic stroke in neurology department of Daping hospital, Chongqing. The related factors of medical cost were analyzed by multivariate regression analysis. Results Mean days of stay-in hospital was 14 days (ranged from 2 to 32 days). Mean medical cost was 6 130 RMB(medicine expense occupied 53. 1%; bed-usage fee occupied 7.9 %; medical examination expense occupied 25.6 % ; other items occupied 11.1%. The major related factor of medical cost was NIHSS score; other related factors were pulmonary infection, stay--in hospital days, ADL score of two--week inpatient. Conclusions Medicine expense occupied the majority of medical cost. Related factors of inpatlent's medical cost are NIHSS score, pulmonary infection, stay-in hospital days, ADL score of two-week inpatient. Among the factors, NIHSS score play a major role.
出处 《现代护理》 2005年第21期1776-1778,共3页 Modern Nursing
基金 2004年重庆市科技项目(渝科发计字[2004]66号)
关键词 脑血管疾病 医疗费用 住院 Cerebrovascular disease Medical cost Inpatient
  • 相关文献

参考文献7

  • 1Wentworth DA, Atkinson RP. Implement of an acute stroke program decreases hospitalization costs and length of stay[J]. Stroke, 1996 Jun, 27(6): 1040-1043.
  • 2Manzella SM, Galante K. Establishment of stroke treatment plans: one hospitional's experience[J]. J Neurosci Nurs,2000, 32(6): 306-310.
  • 3王文志,吴升平,洪震,杨期东,杜晓立,黄茂盛,刘运海,江滨.我国三城市开展社区人群干预九年脑卒中发病率的变化[J].中华老年心脑血管病杂志,2002,4(1):30-33. 被引量:63
  • 4黄茂盛,洪震,曾军,周玢,金美华,沈明庭,刘德安.90年代上海社区脑卒中发病率、死亡率及其危险因素动态分析[J].中华流行病学杂志,2001,22(3):198-201. 被引量:93
  • 5Dringer MN,Edwards DF, Mattson DT, et al. Predictors of acute hospital costs for treatment of ischemic stroke in an academic center[J]. Stroke, 1999,30(4): 724-728.
  • 6Smurawska LT,Alexandrov AV,Bladin CF,et al. Cost of acute care in Toronto,Canada[J]. Stroke, 1994 Aug, 25(8): 1628-1631.
  • 7Mamoli A,Censori B,Castol,et al. An analysis of the cost of ischemic stroke in an Italian stroke unit [ J ]. Neurology, 1999,53(1):112-116.

二级参考文献12

  • 1中国神经流行病学研究协作组,程学铭,杜晓立,吴升平,王文志,李世绰,姜国鑫,丁兆兰,糜霞芳,汪无级,瞿治平,郭玉祥,包素阁,鲍秋菊.我国七城市脑卒中危险因素干预试验——发病率的变化[J].中国慢性病预防与控制,1992(2):43-46. 被引量:39
  • 2赵连成,周北凡,杨军,张红叶,武阳丰.不同人群的食物摄入量与血压水平的关系[J].中国慢性病预防与控制,1996,4(4):155-159. 被引量:47
  • 3李世绰 王文志 等.社区综合性预防对脑卒中发病率和死亡率的影响[J].中华预防医学杂志,1998,32:8-11.
  • 4李世绰 吴锡桂 王文志.心脑血管病社区人群综合性预防研究的基本设计与方法[J].中华预防医学杂志,1998,32:5-7.
  • 5卫生部统计信息中心.全国35个市、79个县主要疾病死亡专率及死亡原因构成[P].中国卫生统计提要,1987-2000:69—72
  • 6Puska P.Tnomilehto J.Nissinen A.et al.Ten years of teh North Karelia Project[J].Acta Med Scand 1985(Suppl) ,701:66-71.
  • 7Fortmann SP.Flora JA.Winkelby MA.et al.Community intervention trials:reflections on the Stanford Five-city Project experience[J].Am J Epidemiol 1995,142:576-596.
  • 8MRFIT Group Multiple risk factors intervention trials.Risk factor change and mortality results[J].JAMA.1982.248:1465-1477.
  • 9Wilhelmsen L,Berglund G.Elmfeldt D.et al,.The multifactor primary prevention trial in Goteborg.Sweden[J].European Heart Journal.1986.7:279-288.
  • 10王文志.脑血管病的社区人群防治[A].李世绰,程学铭,王文志,等.神经系统疾病流行病学[M].北京:人民卫生出版社,2000.89-100

共引文献152

同被引文献41

引证文献4

二级引证文献9

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部