酒精性肝硬化患者不适当住院日影响因素分析

Study of Inappropriate LOS of Patients with Alcoholic Liver Cirrhosis

目的测算酒精性肝硬化理论住院日,探究其影响因素,为制定临床路径提供依据。方法收集418位患者资料,用住院日适当性评价方案对患者9 694个住院日进行逐一分析,测算酒精性肝硬化的理论住院日,然后用SPSS 20.0对不适当住院日进行单因素和多因素分析。结果16.6%的住院日是不恰当的,等待检查报告和等待手术导致的不适当住院日占76.09%;术前等待日和肝功能Child-Pugh分级是影响不适当住院日的两大因素。结论不适当住院日处于中间水平,应加强各科室之间的沟通协调,在医技科室和网络上加强管理是关键。

Objective To estimate theoretical length of stay with alcoholic liver cirrhosis and explore the influencing fac- tors, and to provide the basis for the development of the Clinical Pathway. Methods 418 patients were collected, and 9 694 LOS were analyzed individually to estimate inappropriate LOS, then SPSS 20.0 were used to analyze influencing factors by unvaried and multivariate analysis. Results 16.6% LOS was inappropriate, waiting for examination reports and surgeries accounted for 76.09% ; waiting day before surgery and Child-Pugh were two main factors. Conclusion Inappro- priate LOS was in an intermediate level. Communication and Coordination between various departments should be strengthened, and the keys were medico-technical departments and network.