摘要
目的分析食管癌超长住院日患者分布特征,为缩短平均住院日提供数据支持。方法基于河南省某三级甲等医院2013—2016年食管癌出院患者病案首页信息,对住院时间超过30 d患者的性别、年龄、付费方式等情况进行回顾性分析。结果22197人次食管癌出院患者中,超长住院日患者为2267人次(10.2%)。超长住院日患者男性1598例(70.49%),女性669例(30.51%);61~70岁组患者所占比重最大为966例(42.61%),其次为51~60岁年龄组657例(28.98%);手术患者的平均住院时长(47.81 d)高于非手术患者(41.72 d),差异具有统计学意义(Z=-7.429,P<0.05);超长住院日患者各类住院费用构成中,费用占比前5位的依次为西药费(50.62%)、放射费(20.51%)、治疗费(6.98%)、化验费(6.37%)、材料费(5.93%)。结论建议重点加强科室老年患者、手术患者住院日管控,科学有效地控制住院时间,强化合理用药指导,从而减轻患者经济负担。
Objective To analyze the distribution characteristics of esophageal cancer patients with extra-long hospitalization days,so as to provide data support for shortening the average hospitalization days.Methods Data from the first pages of medical records of inpatients discharged between 2013 and 2016 were selected from a tertiary comprehensive hospital,and patients staying over 30 days were retrospectively analyzed on the items such as age,gender,payment method and so on.Results Among 22197 discharged patients with esophageal cancer,2267 patients(10.2%)were with extra-long hospitalization.There were 1598 male patients(70.49%)and 669 female patients(30.51%);patients aged 61 to 70 years old accounted for the largest proportion,with 966 cases(42.61%),followed by those aged 51 to 60 years old with 657 cases(28.98%);the average length of hospital stay in patients with surgery(47.81 days)was higher than that in patients without surgery(41.72 days),with a statistically significant difference(Z=-7.429,P<0.05);in the composition of various hospitalization expenses for patients with extra-long hospitalization days,the top five expenses were western medicine expenses(50.62%),radiation expenses(20.51%),treatment expenses(6.98%),laboratory expenses(6.37%)and material expenses(5.93%).Conclusion In order to reduce the economic burden of patients with esophageal cancer,it is suggested that the hospital should control the length of stay of elderly patients and surgical patients in the department and strengthen the management of rational drug use.
作者
何贤英
崔芳芳
马倩倩
赵杰
He Xianying;Cui Fangfang;Ma Qianqian;Zhao Jie(Telemedicine Center,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)
出处
《中国医院统计》
2023年第1期48-51,54,共5页
Chinese Journal of Hospital Statistics
基金
河南省高等学校重点科研项目(22A330004)
河南省医学科技攻关计划联合共建项目(LHGJ20210360)
国家重点研发计划“精准医学研究”重点专项(2017YFC0909900)。
关键词
食管癌
超长住院日
平均住院日
住院费用
esophageal cancer
extra-long hospitalization day
average length of stay
hospitalization expense
