基于DRGs的老年患者医院感染疾病负担评价  

Evaluation of the Burden of Diseases in Elderly Patients Based on DRGs

作　　者：韩叙[1] 王力红[1] 李小莹[1] 仇叶龙[1] 赵霞[1] 张京利[1] 马文晖[1] 赵会杰[1] HAN Xu;WANG Li-hong;LI Xiao-ying(Xuanwu Hospital,Capital Medical University,Beijing,100053,China)

机构地区：[1]首都医科大学宣武医院,北京100053

出　　处：《中国医院管理》2018年第10期51-53,共3页Chinese Hospital Management

基　　金：北京市社会科学基金研究基地项目(14JDZHB021)

摘　　要：目的基于DRGs评价老年患者医院感染的疾病负担。方法回顾性收集2016年北京市某三甲医院全部老年住院患者的DRGs信息及医院感染信息,比较医院感染病例与非医院感染病例的时间消耗指数及费用消耗指数,分析老年医院感染病例的疾病负担情况。结果纳入研究的老年患者共计21 486例,其中院感病例578例,主要分布于神经系统疾病及功能障碍(MDCB)、呼吸系统疾病及功能障碍(MDCE)、循环系统疾病及功能障碍(MDCF)3个主要诊断类别组中。以上3组中医院感染病例组的时间消耗指数分别为1.31、1.42及1.88,均高于非院感病例组,其中循环系统疾病中院感病例组的时间消耗指数为非院感组的1.86倍,差异最为显著;医院感染病例组的费用消耗指数分别为1.96、2.02及1.96,同样明显高于非院感病例组,其中神经系统疾病院感病例组的费用消耗指数为非院感病例组的2.11倍,差异最为显著。结论医院感染显著增加老年患者的疾病负担,应进一步加强老年患者医院感染的防控。Objective To evaluate the burden of hospital infection in elderly patients based on DRGs.Methods Retrospectively collecting the DRGs’information of all elderly hospitalized cases and hospital infection cases from a hospital in Beijing in 2016 to compare the time and cost consumption index between hospital infection cases and other non-infection cases,and to analyze the disease burden of hospital infection cases in elderly patients.Results 21 486 elderly patients were enrolled in the study,including 578 hospital infection cases that mainly distributed in nervous system diseases and disorders(MDCB),respiratory system diseases and disorders(MDCE)and circulatory system diseases and disorders(MDCF).The time consumption index of these three diseases above were 1.31,1.42 and 1.88 respectively,which were significantly higher than those of the group of non-infection cases.The highest multiple was 1.86-fold in MDCF.The cost consumption index of these three diseases was 1.96,2.02 and 1.96 respectively,which was higher than the group of non-infection cases too,and the highest multiple was 2.11-fold in MDCB.Conclusion Hospital infection has significantly increased the burden of disease in elderly patients,and the prevention and control of hospital infection in elderly patients should be further strengthened.

关 键 词：疾病诊断相关组 医院感染 老年患者 疾病负担 时间消耗指数 费用消耗指数 

分 类 号：R197.323.4[医药卫生—卫生事业管理]