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北京市某三甲医院住院超30天患者影响因素分析

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目的 通过分析北京市某三甲医院住院超 30 天的患者特征及影响因素,为降低研究医院平均住院日提供数据支持.方法 筛选该研究医院 2022 年 1 月 1 日到 2023 年 6 月 30 日出院患者住院超 30 天患者 891 例,单因素分析采用卡方检验,利用Logistic回归分析进行多因素研究,以是否住院超 30 天为因变量.结果 住院超 30 天患者住院天数主要集中在 31 天~40 天,排前三位的出院科室分别是神经外科(274例)、普通外科(130 例)、神经内科(89例);住院超30 天患者主要诊断是神经系统疾病 169 例(18.97%),其中癫痫患者比例最高10.77%;不同年龄分层中,10岁~19岁组内住院超30天出院患者比例最高2.17%;单因素分析,年龄、性别、婚姻状况、患者来源、入院途径、是否入ICU和手术与住院是否超 30 天相关(P<0.05);多因素分析,年龄 0~19 岁,年龄≥80 岁,男性患者、未婚患者、外埠患者、急诊入院患者、入ICU患者、手术患者等均是住院超 30 天患者的危险因素,OR值均大于 1(P<0.05).结论 年龄、性别、婚姻状况、患者来源、入院途径、是否入ICU和手术是该研究医院住院超 30 天的影响因素,医疗管理应针对重点年龄层、科室、病种,为降低重点科室和病种平均住院日提供数据支持.
Analysis on Influencing Factors of Patients Hospitalized for more than 30 days in a Three A and Tertiary Hospital in Beijing
Objective By analyzing the characteristics and influencing factors of patients hospitalized for more than 30 days in a Three A and Tertiary Hospital in Beijing,to provide data basis for reducing the average hospitalization days in research hospitals.Methods 891 patients who were discharged from the researched hospital from January 1st,2022 to June 30th,2023 and had been hospitalized for more than 30 days were selected.The univariate analysis was conducted using Chi-square test and Logistic regression analysis for a multivariate study,with hospitalized for more than 30 days as the dependent variable.Results The hospitalization days of patients who were hospitalized for over 30 days were mainly concentrated between 31 and 40 days.The top three discharged departments were neurosurgery(274 cases),general surgery(130 cases),and neurology(89 cases);169 patients(18.97%)were mainly diagnosed with neurological diseases after being hospitalized for over 30 days,with the highest proportion of epilepsy patients being 10.77%;Among different age groups,the highest proportion of discharged patients who were hospitalized for more than 30 days within the age group of 10 to 19 was 2.17%;Univariate analysis showed that age,gender,marital status,patient source,admission route,whether to ICU,and surgery were correlated with whether hospitalized more than 30 days(P<0.05);Multivariate analysis showed that age range from 0 to 19 years old,≥80 years old,male patients,unmarried patients,patients from other cities,emergency admissions,ICU admissions,surgical patients were all risk factors for patients hospitalized for more than 30 days,with OR values greater than 1(P<0.05).Conclusions Age,gender,marital status,patient source,admission route,ICU admission,and surgery were the influencing factors for the hospitalized more than 30 days.Medical management should focus on key age groups,departments,and disease types,and take measures to reduce the average hospitalization days.

Hospitalization for more than 30 daysInfluencing factorsRegression analysis

赵琳

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首都医科大学宣武医院,北京市,100053

住院超30天 影响因素 回归分析

首都卫生管理与政策研究基地开放性课题北京市优秀人才-青年骨干个人项目

2018JD042016000020124G109

2024

中国病案
中国医院协会

中国病案

CSTPCD
影响因子:1.197
ISSN:1672-2566
年,卷(期):2024.25(4)
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