城市地区房颤脑卒中患者住院费用分析  

Analysis of Hospitalization Costs for Urban Patients with Atrial Fibrillation Related Stroke in China

作　　者：吴静静[1] 杨莉[1] 

机构地区：[1]北京大学公共卫生学院,北京100191

出　　处：《中国药房》2013年第22期2017-2020,共4页China Pharmacy

基　　金：国家自然科学基金面上项目(No.71273016);教育部人文社会科学研究青年基金项目(No.10YJC630332)

摘　　要：目的:对房颤脑卒中患者的住院费用及其影响因素进行分析,以便进一步估算房颤所致脑卒中的经济负担,为房颤脑卒中的预防提供证据。方法:采用分层随机抽样方法,从2010年全国城镇基本医疗保险参保住院患者数据库中抽取158例房颤伴脑卒中住院患者资料,对所抽取患者的住院费用进行描述性分析,并通过单因素分析和多元线性回归分析影响患者住院费用的因素。结果:患者平均年龄为(73.6±9.1)岁,其中50.00%为男性;患者平均住院时间为17.5d;平均住院费用为17480.27元(中位数:11975.32元,四分位间距:7863.30～19941.85元),其中药品费用占总费用的比例为50.6%,医疗保险负担了总住院费用的49.4%。多元线性回归显示,患者医疗保险类型对房颤伴脑卒中患者的住院费用有显著性影响(P<0.001),城镇职工的住院费用比城镇居民高54%。结论:房颤脑卒中患者的住院费用很高,提示对房颤患者进行脑卒中预防可节省医疗费用。OBJECTIVE： To analyze hospitalization costs and influential factors of patients with atrial fibrillation （AF） related stroke, and to estimate the economic burden of AF-related stroke and provide evidence for the prevention of AF-related stroke. METHODS： 158 patients were randomly selected from the basic medical insurance databases in 2010 by stratified random sam- pling method. The descriptive statistics was used to describe patients＇ hospitalization cost. Single factor and multiple linear regres- sion analyses were also used to analyze influential factors. RESULTS： Mean age was （73.6 ± 9.1） years, among which 50.00% were male. The mean length-of-stay was 17.5 days. The mean hospitalization cost was 17 480.27 yuan （median： 11 975.32 yuan, I QR：7 863.30-19 941.85 yuan）. The drug cost accounted for 50.6% of the total cost, and medical insurance bore 49.4% of hospital- ization cost. The multiple linear regressions showed that type of medical insurance had significant effect on hospitalization cost of AF-related stroke patients（P〈0.001 ）; urban employees had higher costs by 54% than urban residents. CONCLUSIONS：The patients with AF-related stroke bear high hospitalization costs. It implies that stroke prevention in AF patients may have potential cost savings.

关 键 词：房颤脑卒中 住院费用 影响因素 多因素分析 

分 类 号：R956[医药卫生—药学] R541.75