摘要
目的渊查四川大学华西医院内分泌代谢科2011年甲状腺疾病住院患者的费用情况，为进一步研究提供基线数据。方法从四川大学华西医院住院电子病历系统（HIS系统）采集2011年度该院内分泌代谢科出院或转他科诊治后出院的住院病例资料，内容包括住院患者基本信息、出院首诊断、住院费用及是否在院登记医保等。根据国际疾病分类（ICD-10）标准，对病案首页的首诊断进行疾病分类，用Excel2010软件整理数据，并运用SPSS13．0进行统计分析。结果2011年该院内分泌代谢科甲状腺疾病住院患者205例，男性84例，女性121例，平均年龄45．3＋15-7岁；甲状腺疾病的中位住院天数为10天，人次中位住院总费用为2881．43元，其中以化验费和检查费为主。甲亢住院患者总计162人次，占总甲状腺疾病的79．5％，中位住院天数10天（7～14天），人次中位住院总费『}】为2958．36元，而甲亢并发症的数量与住院天数、住院费用不相关。结论甲状腺疾病是内分泌代谢科常见疾病，以甲亢最为多见，而且甲亢住院天数和住院费用与甲亢并发症数量无关。
Objective To investigate the financial burden of in-patients with thyroid diseases in the West China Hospital in Chengdu, Sichuan province, from January 2011 to December 2012, so as to provide baseline data for further research. Methods The data of in-patients （who had been discharged from the department of endocrinology and metab- olism or discharged after being transferred to other departments for diagnosis and treatment in the West China Hospital in 2011） were collected from the Hospital Information System （HIS） of the West China Hospital, including basic informa- tion, initial diagnosis when the patients were discharged, hospital costs, the information about whether the patients had been registered the insurance in hospital, etc. We classified diseases according to ICD-10 based on the initial diagnosis when the patients were discharged on the first page of case reports. The data were input using Excel 2010 software, and statistical analysis was performed using SPSS 13.0 software. Results The results showed that： a） in 2011, 205 person- times were hospitalized in the department of endocrinology and metabolism, of which, 84 were male and 121 were female, with mean age of 45.3＋ 15.7 years; b） for patients with thyroid diseases, median hospital stay was 10 days, the average cost of hospital stay for each patient was RMB 2 881.43 yuan, most of which was for lab tests and examination; c） the person- times of patients with hyperthyroidism was 162, accounting for 79.5% of the total of thyroid diseases, median hospital stay was 10 days, and the average cost of hospital stay was RMB 2 958.36 yuan; and d） there was no association between the number of hyperthyroidism complications and hospital stay and costs. Conclusion Thyroid diseases are a commonly- seen disease in the department of endocrinology and metabolism, of which, hyperthyroidism accounts for the most. There is no association between the number of hyperthyroidism complications and hospital stay/costs.
出处
《中国循证医学杂志》
CSCD
2013年第11期1298-1302,共5页
Chinese Journal of Evidence-based Medicine
关键词
三甲医院
甲状腺疾病
住院费用
现况调查
Triple-A Hospital
Thyroid disease
Hospitalization cost
Status survey
