某肿瘤医院住院超30天患者的分布特征及影响因素分析

Analysis of distribution characteristics and influencing factors of inpatients with over 30-day hospitalization from a cancer hospital

目的:分析肿瘤专科医院住院超30天患者分布特征与影响因素,探讨缩短平均住院日的措施,为有效控制超长住院日提供决策支持。方法:调取某院2018年出院患者病案首页信息,分析1939例住院超30日患者分布特征,对其影响因素进行多因素Logistic回归分析。结果:1939例住院超30日患者中男性患者比例高于女性,中位数为58岁,平均住院日为43.56天,年龄、是否非计划再次手术、住院期间是否转科、是否进行手术操作、术前等待时间、合并症和ICD疾病分类对超长住院日的影响差异具有统计学意义(P<0.05)。结论:医院应加强重点科室重点疾病的管理力度,抓好医疗质量,提高各部门协同运行效率,缩短检查等待时间,多管齐下缩短平均住院日。

Objective:To analyze the distribution characteristics and influencing factors of inpatients hospitalized over 30 days in a Third-lever Grade-A hospital,and to discuss the measures of shortening the average hospitalization days,providing decision support for effective control of long length of stay.Methods:To retrieve all the patient information from a hospital in 2018,analyze the distribution characteristics with 1939 cases of inpatients hospitalized over 30 days,and make Logistic regression analysis on the influence factors.Results:The proportion of male patients was more than female ones among the 1939 cases of inpatients hospitalized over 30 days.The median age of the cases is 58 and the average hospitalization days of the cases is 45.36 days.Through Logistic regression analysis,it was found that age,whether to unplanned reoperation,whether to change department during hospitalization,whether to surgery,the day of patient stay before operation,underlying disease and ICD are the influencing factors of over-long hospitalization days(P<0.05).Conclusions:Hospitals should strengthen the management of specific departments and key diseases,improving of medical quality,improving of collaborative efficiency among different departments and reducing inspection waiting time to shorten the average hospitalization days.