单中心不同年龄急性心肌梗死患者的住院时间和费用分析  

Analysis of hospitalization time and cost of patients with acute myocardial infarction of different age in a single center

作　　者：史敬华[1] 张普[2] Shi Jinghua;Zhang Pu(Information Center,Tai'an City Central Hospital,Tai'an 271000,China;Second Department of Cardiology,Tai??an City Central Hospital,Tai'an 271000,China)

机构地区：[1]泰安市中心医院信息中心,271000 [2]泰安市中心医院心内二科,271000

出　　处：《中国心血管杂志》2019年第1期71-74,共4页Chinese Journal of Cardiovascular Medicine

摘　　要：目的分析不同年龄急性心肌梗死患者的平均住院日和花费情况。方法收集泰安市中心医院2013年7月1日至2018年6月30日因急性心肌梗死住院的4 034例患者资料,按年龄分为3组:中年组(45≤年龄<60周岁)1 093例、老年组(60≤年龄<80周岁)2 365例和高龄组(年龄≥80周岁)576例。比较不同年龄组急性心肌梗死患者的平均住院日及花费情况。结果老年组患者平均住院日高于中年组和高龄组,差异有统计学意义[(11.5±7.0)d比(10.9±5.5)d,P=0.012;(11.5±7.0)d比(10.8±7.6)d,P=0.029];3组男性平均住院日比较,差异有统计学意义(F=3.613,P=0.027),其中老年组男性平均住院日高于中年组[(11.6±7.5)d比(10.9±5.6)d,P=0.009];3组药物花费比较,差异无统计学意义(F=2.248,P=0.106);住院总费用方面,3组间两两比较差异均有统计学意义(均为P<0.05),且随着年龄增长,住院总费用呈下降趋势。结论老年患者的平均住院日显著高于中年和高龄患者;随着年龄增长,住院总费用呈下降趋势。Objective To analyze the average hospitalization days and expenses of patients with acute myocardial infarction(AMI)of different age.Methods Data of 4 034 patients with AMI hospitalized in Taian Central Hospital from July 1,2013 to June 30,2018 were collected.Based on age,all patients were divided into three groups:1 093 cases in middle-age group(45≤age<60 years),2 365 cases in old age group(60≤age<80 years)and 576 cases in advanced age group(age≥80 years).The average hospitalization days and expenses in hospital were compared among the three groups.Results The average length of stay in hospital in the old age group were significantly higher than those in the middle-age group[(11.5+7.0)d vs.(10.9+5.5)d,P=0.012]and the advanced age group[(11.5+7.0)d vs.(10.8+7.6)d,P=0.029].Pharmacy costs were similar among the three groups(F=2.248,P=0.106),but the middle-age group was associated with significantly higher total hospitalization expenses compared with the other two groups(both P<0.05).Conclusions The average hospitalization days is significantly higher in the old age group than those in the middle-aged and advanced age groups.With the increase of age,there is a downward trend of less total hospitalization expenses.

关 键 词：急性心肌梗死 住院费用 住院时间 年龄 

分 类 号：R542.22[医药卫生—心血管疾病]