中国卫生质量管理2024,Vol.31Issue(3) :32-36.DOI:10.13912/j.cnki.chqm.2024.31.3.09

北京市3岁~17岁孤独症住院患者非计划再入院现状及影响因素研究

Status and Influencing Factors of Unplanned Readmission among Autism Inpatients Aged 3~17 in Beijing

杨学来 赵亚楠
中国卫生质量管理2024,Vol.31Issue(3) :32-36.DOI:10.13912/j.cnki.chqm.2024.31.3.09

北京市3岁~17岁孤独症住院患者非计划再入院现状及影响因素研究

Status and Influencing Factors of Unplanned Readmission among Autism Inpatients Aged 3~17 in Beijing

杨学来 1赵亚楠2
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作者信息

  • 1. 中日友好医院 北京 100029
  • 2. 北京大学公共卫生学院 北京 100191;北京大学中国卫生发展研究中心 北京 100191
  • 折叠

摘要

目的 分析北京市 3 岁~17 岁孤独症住院患者非计划再入院现状,探讨影响因素,为精神类疾病医疗质量提升提供参考.方法 收集北京市市级医院 2022 年 1 月 1 日-12 月 31 日 3 岁~17 岁孤独症住院患者资料,分析31 天非计划再入院和年内非计划再入院情况.采用单因素分析和Logistic回归分析探讨非计划再入院影响因素.结果 共纳入 341 名孤独症患者,31 天非计划再入院率和年内非计划再入院率分别为 7.0%、18.8%.年龄是 3 岁~17 岁孤独症患者 31 天非计划再入院影响因素,首次住院天数是患者 31 天非计划再入院和年内非计划再入院影响因素.结论 儿童和青少年孤独症患者的非计划再入院率较低,低龄儿童 31 天非计划再入院率较高,首次住院时间较长患者非计划再入院率较高.应探索降低孤独症患者非计划再入院率的措施,提高孤独症患者医疗服务质量.

Abstract

Objective To analyze the unplanned readmission status of 3-17 years old autistic inpatients in Beijing,and explore the influencing factors,so as to provide reference for improving the medical quality of mental diseases.Methods Data of hospitalized patients with autism aged 3-17 years from January 1 to December 31,2022 were collect-ed from municipal hospitals in Beijing,and the situation of 31-day unplanned readmission and intra-year unplanned re-admission was analyzed.Univariate analysis and Logistic regression analysis were used to explore the influencing factors of unplanned readmission.Results A total of 341 patients with autism were included.The 31-day and intra-year unplanned readmission rates were 7.0%and 18.8%,respectively.Age was the influencing factor of 31-day unplanned readmission for autism patients aged 3-17 years,and the length of first hospital stay was the influencing factor of 31-day unplanned readmission and intra-year unplanned readmission.Conclusion The unplanned readmission rate of children and adolescents with autism was low,the 31-day unplanned readmission rate of young children was relatively high,and the unplanned readmission rate of patients with a longer first hospitalization was higher.Measures should be explored to reduce the unplanned readmission rate of autistic patients and improve the quality of medical services for au-tistic patients.

关键词

北京市/孤独症/儿童/青少年/非计划再入院/影响因素

Key words

Beijing/Autism/Children/Adolescent/Unplanned Readmission/Influencing Factors

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出版年

2024
中国卫生质量管理
中国医院协会,陕西省人民医院

中国卫生质量管理

CSTPCD
影响因子:1.091
ISSN:1006-7515
参考文献量19
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