Analysis of Influencing Factors in 2826 Patients Hospitalized for more than 30 Days
Objectives To analyze the distribution characteristics and influencing factors of patients with over 30-days in a hospital,and provide references for shortening the average length of stay.Methods From January 1st,2017 to December 31st,2021,the front page data of 204,170 discharged patients from a hospital were collected.Excel was used to sort and classify the retrieved data,and the distribution characteristics of patients who stayed in hospital for more than 30 days were statistically described.χ2 test was used to compare the basic condition of patients,and multiple logistic regression model was used to analyze the influence factors of intervention during hospitalization of patients with more than 30 days.Results 204170 patients were discharged from the hospital from 2017 to 2021.Among them,2,826 patients were hospitalized for more than 30 days,accounting for 1.38%,the median of stay over 30 days was 40 days.The days of hospitalization were 31-40 days and 41-50 days,accounting for 50.57%and 25.12%respectively.Age mainly distributed in the elderly with the proposition of 53.26%.The top five discharge departments were department of Oncology,Orthopaedics,Neurosurgery,Rehabilitation Medicine and General Surgery.The top five disease categories were health status and exposure to health facilities(Z00-Z99),injury,poisoning and some other consequences of external causes(S00-T98),cardiovascular disease(I00-I99),tumor(C00-D48)and respiratory diseases(J00-J99).The regression results showed that transferred,difficult and serious,surgery,hospital infection,multiple complications,types of medical insurance were the important influencing factors of over 30 days hospitalization.Conclusions During the period of hospitalization,patients transferred,difficult and serious,surgery,hospital infection,multiple complications would increase the risk of long-term hospitalization.The hospital should strengthen the management of medical quality in the process to reduce the number of patients over 30 days and to shorten the average length of stay.
Over 30-days hospitalizationAverage length of stayInfluencing factors