某院31天内再入院现状与影响因素分析  

Status of Readmission within 31 Days and Influencing Factors Analysis in One Hospital

作　　者：刘娟[1] 杨栋[2] 李系仁[1,3] 周士金[3] 

机构地区：[1]中国医科大学人文社科学院,辽宁沈阳110001 [2]中国医科大学基础医学院,辽宁沈阳110001 [3]中国医科大学附属第一医院,辽宁沈阳110001

出　　处：《中国卫生质量管理》2011年第6期22-25,共4页Chinese Health Quality Management

摘　　要：目的通过对沈阳市某三甲医院住院患者出院31天内再入院现状和影响因素分析,为医疗质量的科学管理提供依据。方法对医院2009年1月1日～12月31日间出院后31天内再入院的患者进行描述性分析,通过t检验和χ2检验进行单因素分析,选择有统计学意义的影响因素进行Logistic回归分析。结果患者年龄、年龄2、性别、病史、前次入院天数、再入院间隔天数、前次合并症个数、前次住院状况、前次出院转归等是影响31天内再入院的主要因素。结论疾病严重程度是影响31天内再入院的最重要影响因素;病种特征是再入院可预防的因素;年龄特征诱发再入院。Objective To investigate the status of readmission within 31 days and analyze its potential influencing factors in a third - level grade - A general hospital in Shenyang to provide evidence for scientific management of medical quality. Method The descriptive analysis of readmission within 31 days was carried out in a hospital in 2009. The univariate analysis was performed by the t - test and chi - square test Non - conditional logistic regression was performed to analyze the significant factors. Result The primary risk factors were age, age - square, gender, history, length of stay in hospital, readmission interval, disease comorbidity, pre - condition and pre - outcome after hospital. Conclusion The disease severity was the most important factor influencing readmission within 31 days. The diseases characters was a preventable factor, and the age placed a premium on readmission.

关 键 词：医疗质量 再入院 LOGISTIC回归分析 影响因素 

分 类 号：R699.8[医药卫生—泌尿科学]