570例糖尿病足病患者住院费用及影响因素分析  

Analysis of hospitalization costs of patients with diabetic foot ulcer and influencing factors

作　　者：洪静[1] 朱虹[1] 吴文俊[1] 葛胜洁[1] 潘晓燕[1] 谷雪梅[1] 沈飞霞[1] 

机构地区：[1]温州医科大学附属第一医院内分泌科,浙江省温州市325000

出　　处：《中华医院管理杂志》2014年第10期755-759,共5页Chinese Journal of Hospital Administration

基　　金：浙江省自然科学基金（LY14H070007）

摘　　要：目的：了解糖尿病足病病患者住院费用及其主要影响因素。方法收集2007年1月至2012年3月住院的570例糖尿病足患者，分析其住院费用与临床特征的关系，采用多元回归方法分析住院费用的主要影响因素。结果糖尿病足患者平均住院费用19825.6（12476.6-32745.9）元，同时期住院的3401例糖尿病患者平均住院费用9757.1（6282.1-15723.7）元，差异有统计学意义。单因素分析中不同年龄、工作、足背动脉、血管 B 超、Wagner 分级、截肢截趾、转科、白细胞、血红蛋白、白蛋白、血肌酐、高密度脂蛋白胆固醇间住院费用差异有统计学意义。多因素分析中住院天数、血白蛋白、Wag-ner 分级、足背动脉、白细胞、年龄是影响住院费用的主要因素。结论住院时间长、低蛋白血症、Wag-ner 分级高、足背动脉搏动差、感染重、年龄大是导致糖尿病足患者住院费用增高的主要因素。Objective To explore the hospitalization costs of patients with diabetic foot ulcer and analyze key influencing factors.Methods A total of 570 diabetic foot inpatients were recruited from January 2008 to March 2012 for analysis of the relationship between their hospitalization costs and clinical symptoms.The multifactor regression analysis model was used to identify main influencing factors for their hospitalization costs.Results The medical costs of such inpatients amounted to 1 9 825.6 yuan （12 476.6-32 745.9）yuan,while average hospitalization costs of the 3 401 diabetic patients admitted over the same period were but 9 757.1 yuan （6 282.1 -1 5 723.7 ）yuan,a difference of statistic significance.The single-factor analysis found statistical differences from the differences of hospitalization among various age,occupation,dorsal artery of foot,B ultrasound of lower extremity arteries,wagner classification,amputation,transfer,leucocyte,hemoglobin,serum albumin,serum creatinine and high density lipoprotein.Multifactor analysis found that the significant factors influencing the medical costs of inpatients were days of stay,albumin,wagner classification,dorsal artery of foot,leucocyte and age. Conclusion Hypoalbuminemia,high stage of wagner classification,weak or absent pulsation of foot dorsal artery,severe infection and aging were significant factors contributing to higher medical costs of hospitalization for patients with diabetic foot ulcer.

关 键 词：糖尿病 医疗费用 多因素分析 

分 类 号：R197.3[医药卫生—卫生事业管理] R587.2[医药卫生—公共卫生与预防医学]