Analysis of Influencing Factors of Hospitalization Costs of Middle Aged and Elderly Patients with Hip Osteoporotic Fracture
Objectives To analyze the main influencing factors of hospitalization costs in middle aged and elderly patients with hip osteoporotic fracture,and provide reference for reasonable control of hospitalization costs.Methods The inpatient records of 9444 patients over 50 years of age with osteoporotic hip fracture from January 1st,2019 to December 31st,2023 were collected by retrieving primary diagnostic ICD codes and cause of injury.Multiple linear regression analysis was used to investigate the factors affecting hospitalization costs.Results A total of 9444 inpatient cases were collected,the average hospitalization costs from 2019 to 2023 was 47082.70 yuan,and the average hospitalization costs decreased from 51314.64 yuan in 2019 to 36207.52 yuan in 2023,showing an overall negative growth(average speed of growth was-8.35%).Multiple linear regression analysis showed that age,occupation type,payment method,length of stay,treatment method,self-care ability score at admission,use of intensive care,and material cost proportion were the influencing factors of hospitalization costs(P＜0.05).According to the comparison of standardized regression coefficients,the main influencing factors were the material cost proportion,the length of stay and the use of intensive care.Conclusions Older age group,peasant group,self-paid payment method,increased length of stay,surgical treatment,lower self-care ability score at admission,used ICU,and higher material cost proportion would increase the hospitalization costs to different degrees.Health education for high-risk groups,reasonable control of length of stay,and selection of national collection of consumables had a positive effect on the control of hospitalization costs.
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