某三级综合医院住院超30天患者分布特征及影响因素分析  

Distribution Characteristics and Influencing Factors of Patients Hospitalized for More Than 30 Days in a Tertiary General Hospital

作　　者：李慧[1] 李晓丽 李占结 张萌 徐康[1] Li Hui;Li Xiaoli;Li Zhanjie;Zhang Meng;Xu Kang(Medical Department,Taixing People's Hospital,taixing 225400,Jiangsu Province,China;不详)

机构地区：[1]泰兴市人民医院医务处,江苏省泰兴市225400 [2]泰兴市人民医院质控科,江苏省泰兴市225400 [3]江苏省人民医院感染管理处,江苏省南京市201129

出　　处：《中国病案》2023年第7期67-71,共5页Chinese Medical Record

基　　金：国家重点研发计划(2020YFC0848100)。

摘　　要：目的分析超长住院日患者分布特征及影响因素,为降低患者平均住院日提供数据参考。方法从江苏省泰州市某三级医院病案管理系统中调取2018年1月1日-2021年11月30日253973例出院患者信息,对住院时间>30天的5105例超长住院日患者的分布特征进行统计描述,采用Logistic回归模型分析超长住院日的影响因素。结果253973例出院患者住院天数为7(4,12)天,其中超长住院日患者住院天数为39(33,49)。超长住院患者以60岁以上年龄组最多(66.82%);医保患者占92%;疾病类别主要为损伤中毒(24.37%)、呼吸循环系统疾病(21.19%)、影响健康状态和与保健机构接触的因素(18.35%)及肿瘤(15.49%)等;多因素Logistic回归结果显示,性别、年龄、住院次数、术前住院天数、入院方式、付款方式、危重、转科、手术及病种均是住院超30天的影响因素(P<0.05)。结论高龄、转科、危重、多次入院、病种等是某院住院超30天的影响因素,管理层应针对重点人群、病区、病种,有针对性地采取措施降低平均住院日。Objectives This study aims to analyze the distribution and influencing factors of over-long hospitalized patients and provide data references for reducing the average hospitalization days of patients.Methods The homepage information of 253,973 inpatients from January 1,2018 to November 30,2021 was retrieved from the medical record management system of a tertiary hospital in Taizhou City,Jiangsu Province.The distribution characteristics of 5,105 ultra-long hospitalized patients with hospitalization time 30 days were statistically described,and the logistic regression model was used to analyze the influencing factors of the long hospital stay.Results The hospitalization days of 253973 discharged patients were 7(4,12),of which the length of stay in patients with super long hospital days was 39(33,49)days.The most long-term hospitalization patients were those over 60 years old(66.82%).Patients with medical insurance accounted for 92%.The disease categories were mainly injury and poisoning(24.37%),respiratory and circulatory system diseases(21.19%),affecting health status and contact with healthcare institutions factors(18.35%),and tumors(15.49%).The multivariate Logistic regression results showed that gender,age,number of hospitalizations,days of hospitalization before surgery,hospitalization method,payment method,critical illness,transfer to department,operation,and type of disease were the influencing factor of hospitalization for more than 30 days(P<0.05).Conclusions Elderly age,transfer to the department,critical condition,multiple admissions,and types of diseases were the influencing factors of hospitalization for more than 30 days in our hospital.The management should take targeted measures to reduce the average hospitalization days for key populations,wards,and types of diseases.

关 键 词：住院超30天 分布特征 影响因素 

分 类 号：R197.323[医药卫生—卫生事业管理]