1659例慢性阻塞性肺疾病出院患者的统计分析  

Statistical Analysis of 1659 Discharged Patient of Chronic Obstructive Pulmonary Disease

作　　者：窦一峰 吕劲松[1] 白景珍[1] 贾新亮 王坤生[1] Dou Yifeng;Lv Jinsong;Bai Jingzhen;Jia Xinliang;Wang Kunsheng(Baodi People's Hospital of Tianjing,Tianjing 301800,China;不详)

机构地区：[1]天津市宝坻区人民医院,天津市301800

出　　处：《中国病案》2023年第2期80-83,共4页Chinese Medical Record

基　　金：天津市卫生信息学会科研项目(TJHIA-2020-001)。

摘　　要：目的 了解慢性阻塞性肺疾病住院患者情况,为医院提高医疗服务质量提供依据。方法 对某院2017年1月1日至2020年12月31日出院的1659例COPD患者的性别与年龄、死亡例数、平均住院日、平均费用以及再入院等指标进行分析。结果 患病高峰年龄在70岁-79岁之间,占患者总数的41.95%;1659例COPD患者中男性1000例,女性659例,男性患者集中分布在60岁-89岁,占患者总例数的55.39%,女性患者集中分布在70岁-89岁,占患者总例数的29.29%;86岁-95岁患者平均住院日最长为8.01天,患者平均费用几乎呈逐年增加趋势,平均增长率为17.34%;2天-15天内再住院67例,占比为4.04%,16天-31天内再住院33例,占比为1.99%。结论 医院应加强慢阻肺费用管理,把关该疾病患者非医嘱离院转院情况,做好患者宣教和预防工作,促进诊疗水平进一步提高。Objectives To understand the situation of patients hospitalized with chronic obstructive pulmonary disease, to provide an effective basis for hospitals to promote the standardization of COPD treatment, and improve the quality of medical services. Methods The gender and age, number of deaths, average hospital days, average costs, and readmissions of 1659 COPD patients discharged from a tertiary hospital in Tianjin from January 1st, 2017, to December 31st, 2020, were statistically analyzed. Results The peak age of the disease in this hospital was between 70-79 years old, accounting for 41.95% of the total number of patients;among 1659 COPD patients, 1000 were male and 659 were female, with male patients concentrated in the age group of 60-89 years old, accounting for 55.39% of the total number of patients, and female patients concentrated in the age group of 70-89 years old, accounting for 29.29% of the total number of patients;patients aged 86-95 years old The longest average hospitalization day was 8.01 days, and the average cost of patients increased almost year by year, with an average growth rate of 17.34%;67cases were readmitted within 2-15 days, accounting for 4.04%, and 33 cases were readmitted within 16-31 days,accounting for 1.99%. Conclusions Patients discharged from chronic obstructive pulmonary disease had long hospitalization days, high hospitalization costs, and high consumption of medical resources, and the proportion of male patients in the main age group of morbidity was higher than that of female patients. In the future, we should continue to strengthen the medical quality management of chronic obstructive pulmonary disease, strengthen the control of inpatient days, inpatient costs and other indicators, and promote further improvement of the diagnosis and treatment level.

关 键 词：慢性阻塞性肺疾病 年龄 平均费用 再入院 医疗质量 监测指标 

分 类 号：R563.9[医药卫生—呼吸系统] R197.323[医药卫生—内科学]