某三甲医院2023年超长住院病例特征及影响因素分析  

Analysis of the characteristics and influencing factors of patients with extra-long length of stay in a tertiary grade A hospital in 2023

作　　者：范晓欣 周柏萱 FAN Xiaoxin;ZHOU Baixuan(No.962 Hospital of PLA's Joint Logistic Support Force,Harbin Heilongjiang 150080,China)

机构地区：[1]中国人民解放军联勤保障部队第九六二医院,黑龙江哈尔滨150080

出　　处：《卫生软科学》2024年第9期41-45,共5页Soft Science of Health

摘　　要：[目的]分析某院2023年超长住院病例分布特征及影响因素,探索缩短平均住院日的策略。[方法]将样本医院出院病例住院30天及以上定义为超长住院。采用Microsoft Excel 2010进行数据整理、IBM SPSS 24.0进行数据分析。[结果]超长住院病例345人次,占全部出院人次的1.36%;住院天数30~39天的病例数量最多,占60.58%;男性病例远高于女性,男女比为7.02∶1;年龄主要分布于19~29岁,占49.6%。超长住院病例所在科室构成比前5位为:康复医学科、骨科、普外科、感染病科和老年科。疾病分类构成前6位为:循环系统疾病、消化系统疾病、损伤/中毒和外因的某些其他后果、泌尿生殖系统疾病、影响健康状态和与保健机构接触的因素、肌肉骨骼系统和结缔组织疾病。[结论]超长住院病例对医院整体平均住院日影响很大,性别、年龄、医疗付款方式、是否手术、是否有其他诊断、是否病重、是否转科是超长住院的主要影响因素。Objective To analyze the distribution characteristics and influencing factors of cases with extra-long length of stay in a hospital in 2023,and to explore strategies of shortening average hospitalization days.Methods Discharged patients from sample hospitals whose hospitalization days were 30 days or more were defined as extra-long length of stay.Microsoft Excel 2010 was used for data sorting and IBM SPSS 24.0 was used for data analysis.Results There were 345 patients of extra-long length of stay,accounting for 1.36%of all discharged patients.The number of patients staying in hospital for 30-39 days was the largest,accounting for 60.58%.Male patients were much higher than female patients,and the ratio of male to female was 7.02∶1;the age was mainly distributed in 19-29 years old,accounting for 49.6%.The top five constituent ratio of departments where patients were extra-long length of stay were:rehabilitation medicine department,orthopedics department,general surgery department,infectious disease department and geriatrics department.The top six categories of diseases were:circulatory system diseases,digestive system diseases,injuries or poisonings and certain other consequences of external causes,urogenital system diseases,factors affecting health status and contact with health care institutions,musculoskeletal system and connective tissue diseases.Conclusions Patients with extra-long length of stay have a great impact on the overall average length of stay in a hospital.Gender,age,medical payment method,whether surgery,whether other diagnoses,whether serious illness,whether transferring to another department are the main influencing factors of extra-long length of stay.

关 键 词：超长住院 分布特征 LOGISTIC回归 

分 类 号：R197.323[医药卫生—卫生事业管理]