肾癌手术患者住院费用影响因素的探讨  

Discussion on the Influencing Factors of Hospitalization Expenses for Renal Cancer Surgery Patients

作　　者：鲍吉庆 曹洋 吴亚 季海霞 Bao Jiqing;Cao Yang;Wu Ya;Ji Haixia(Department of Medical Records,Jiangsu People’s Hospital,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210000,Jiangsu Province,China;不详)

机构地区：[1]江苏省人民医院(南京医科大学第一附属医院)病案室,江苏省南京市210000 [2]江苏省人民医院(南京医科大学第一附属医院)质量管理处,江苏省南京市210000 [3]南京市第二医院病案室,南京市210000

出　　处：《中国病案》2024年第1期58-61,共4页Chinese Medical Record

摘　　要：目的分析肾癌手术患者住院费用影响因素,为控制肾癌手术患者住院费用提供理论依据。方法选取某三甲医院2020年1月1日-2022年10月31日期间主要诊断编码为C64且手术的出院病案,共1587份,使用Spss24.0进行统计分析,使用描述性分析、单因素分析、多元线性回归分析和决策树,找出肾癌手术患者住院费用的主要影响因素。结果肾癌手术患者平均住院费用为58419.18元,平均住院天数为10.9天。影响肾癌手术患者住院费用的主要因素有性别,术前住院天数,住院天数,手术方式(F=158.421,P<0.001)。决策树结果组间差异明显(χ^(2)=1132.344,P=0.000),腹腔镜手术且住院天数小于6天的肾癌病例分组住院次均费用最低。结论对肾癌手术患者而言,合理控制术前住院天数和减少住院天数,选择适合的手术方式,是有效控制住院费用的关键。Objectives This study aims to analyze the influencing factors of hospitalization expenses for renal cancer surgery patients and provide a theoretical basis for controlling hospitalization expenses.Methods A total of 1,587 discharged cases with main diagnosis code C64 and surgery from a tertiary hospital between January 1,2020and October 31,2022 were selected.Spss24.0 was used for statistical analysis.Descriptive analysis,single factor analysis,multiple linear regression analysis,and decision tree were used to find out the main influencing factors of hospitalization costs for renal cancer surgery patients.Results The average hospitalization cost for patients undergoing kidney cancer surgery was 58419.18 yuan,and the average length of stay was 10.9 days.The main factors affecting the hospitalization expenses of renal cancer patients undergoing surgery included gender,preoperative hospitalization days,hospitalization days,and surgical methods(F=158.421,P<0.001).The difference in decision tree results between groups was significant(χ^(2)=1132.344,P=0.000).Renal cancer patients who underwent laparoscopic surgery and were hospitalized for less than 6 days had the lowest average hospitalization cost per group.Conclusions For patients undergoing nephrectomy,controlling preoperative hospitalization days and reducing overall length of stay,as well as selecting appropriate surgical methods based on individual conditions,are key factors in effectively controlling hospitalization costs.

关 键 词：肾癌 住院费用 影响因素 

分 类 号：R737.11[医药卫生—肿瘤] R197.32[医药卫生—临床医学]