吕青海,刘 罡,周红艳.肿瘤专科医院2647例超长住院日患者分布特征及影响因素分析[J].中国肿瘤,2019,28(3):198-201.
肿瘤专科医院2647例超长住院日患者分布特征及影响因素分析
Distribution and Influencing Factors of Patients with Extra Long Hospital Stay in a Cancer Hospital
投稿时间:2018-09-19  
DOI:10.11735/j.issn.1004-0242.2019.03.A007
中文关键词:  肿瘤患者  超长住院日  肿瘤医院  Logistic回归模型
英文关键词:tumor patients  extra long hospitalization  cancer hospital  Logistic regression model
基金项目:四川省科技厅科普项目(2017KZ0045)
作者单位
吕青海 电子科技大学医学院附属肿瘤医院·四川省肿瘤医院 
刘 罡 电子科技大学医学院附属肿瘤医院·四川省肿瘤医院 
周红艳 电子科技大学医学院附属肿瘤医院·四川省肿瘤医院 
摘要点击次数: 1734
全文下载次数: 429
中文摘要:
      摘 要:[目的] 分析肿瘤专科医院超长住院患者超长住院日的形成原因,探讨缩短平均住院日的方法。[方法] 收集四川省肿瘤医院2017年度56 948例出院患者(排除非医嘱出院患者)病案首页资料,对超长住院日(住院时间≥30d)患者的性别、年龄、疾病类型、出院科室、住院费用等分布特征进行统计分析,采用非条件Logistic回归模型分析超长住院日形成的相关影响因素。[结果] 超长住院日患者2647例,占同期出院患者总人数的4.65%。全年出院患者住院日的几何均数为7.25d,超长住院日患者住院日的几何均数为42.42d。超长住院日患者以40~59岁年龄组最多(1403例,53.00%),其次为60~79岁年龄组(959例,36.23%),40~79岁中老年人群合计占89.23%。超长住院日患者主要集中在气管/支气管/肺恶性肿瘤(17.38%)、乳腺恶性肿瘤(17.34%)、宫颈恶性肿瘤(15.49%)、直肠恶性肿瘤(7.97%)和胃恶性肿瘤(5.48%)等病种,前10位病种合计占全部超长住院日患者疾病总数的77.56%;主要分布在放疗科(34.49%)、妇瘤科(21.38%)、腹部肿瘤内科(8.20%)、老年肿瘤内科(6.20%)、胸外科等科室(5.14%),前10位出院科室合计占全部超长住院日患者出院科室的90.18%。多因素Logistic回归分析显示,术后感染(OR=19.866)、住院期间转科(OR=16.314)、住院期间会诊(OR=2.273)、住院期间手术(OR=2.044)、肿瘤分期(OR=1.471)是形成超长住院日的影响因素。[结论] 规范诊疗行为、优化住院及服务流程、加强住院期间管理可以有效缩短住院时间。
英文摘要:
      Abstract:[Purpose] To analyze the causes of the extra long hospitalization in cancer hospital. [Methods] Medical records(excluding against-advice discharge) of 56 948 patients discharged from Sichuan Cancer Hospital in 2017 were collected. The gender,ages,disease types,departments and hospitalization expenses of patients with extra long length of stay(≥30d) were analyzed. The unconditional Logistic regression model was used to analyze the related factors of long hospitalization. [Results] There were 2647 cases with extra long hospital stay accounting for 4.65% of all discharged patients in the same period. The geometric mean length of hospital stay was 7.25d for all patients and 42.42d for patients with long hospitalization. Most of patients with long hospital stay were aged 40~59 years(53.00%),followed by patients aged 60~79 years(36.23%),and 40~79 years(89.23%). Patients with extra long hospital stay mainly had tracheal/bronchial/pulmonary malignant tumors(17.38%),breast malignant tumors(17.34%),cervical malignant tumors(15.49%),rectal malignant tumors(7.97%) and gastric malignant tumors(5.48%). The top 10 diseases accounted for 77.56% of the total number of patients with extra long hospital stay. The common discharged department with extra long hospital stay was radiotherapy oncology department(34.49%),gynecology department(21.38%),abdominal oncology department(8.20%),geriatric oncology department(6.20%) and thoracic surgery department(5.14%). The top 10 discharged departments accounted for 90.18% of all discharged patients with extra long hospital stay. Multivariate Logistic regression analysis showed that postoperative infection(OR=19.866),department transfer(OR=16.314),consultation during hospitalization(OR=2.273),surgery(OR=2.044) and tumor stage(OR=1.471) were the influencing factors for extra long hospital stay. [Conclusion]Standardizing diagnosis and treatment,optimizing hospitalization and service process,and strengthening management during hospitalization may effectively shorten hospital stay.
在线阅读   查看全文  查看/发表评论  下载PDF阅读器