2006—2020年深圳市某三级医院超长住院日患者临床特征分析

Analysis of the clinical characteristics of patients with overlength hospitalization in a hospital in Shenzhen from 2006 to 2020

目的探讨超长住院日患者的临床特征,为缩短平均住院日、合理利用医疗资源、提高医院管理水平提供依据。方法基于深圳市宝安区某三级综合性医院2006—2020年出院患者病案首页信息,按年份、性别、年龄、国际疾病分类(ICD-10)、出院科室、疾病分布等对超长住院日患者进行分层分析。结果330478人次出院患者中超长住院日患者共6905人次(2.09%)。超长住院患者中男性4978例(72.09%),女性1927例(27.91%);30~<45岁组患者所占比重最大,2115例(30.63%),其次是45~<60岁组,1795例(26.00%);出院科室主要集中在外科(71.60%)、内科(27.10%);ICD-10病种构成前2位是损伤、中毒和外因的某些其他后果,共4008例(58.04%),其次是循环系统疾病,1162例(16.83%);疾病分类前3位是颅内损伤、小腿(包括踝)骨折、脑内出血,共1697例(24.58%)。结论超长住院患者出院科室主要集中在外科、内科,患者住院时间长、费用高,医院管理部门应科学管理,缩短超长住院日患者住院时间。

Objective To explore the clinical features of patients with overlength hospitalization days,in order to provide basis for shortening average hospitalization days,rational utilization of medical resources and improving the hospital management level.Methods Based on the information of the first page of medical records of patients discharged from a tertiary general hospital in Bao′an District of Shenzhen from 2006 to 2020,patients with overlength hospitalization were analyzed and stratified by year,gender,age,International Classification of Diseases(ICD-10),discharge departments and disease distribution.Results Among 330478 discharged patients,6905 patients(2.09%)were with overlength hospitalization.There were 4978 male patients(72.09%)and 1927 female patients(27.91%);patients aged 30 to less than 45 years old accounted for the largest proportion,with 2115 cases(30.63%),followed by those aged 45 to less than 60 years old with 1795 cases(26.00%);discharged patients were mainly from the surgery(71.60%)and internal medicine departments(27.10%).The first two kinds of ICD-10 diseases were injury,poisoning and some other consequences of external causes,with 4008 cases(58.04%),followed by circulatory diseases with 1162 cases(16.83%).The top three diseases were intracranial injury,fracture of leg(including ankle)and intracerebral hemorrhage,with 1697 cases(24.58%).Conclusion Patients with overlength hospitalization were mainly in surgery and internal medicine departments,and and the length of hospitalization was long and the cost was high,so the hospital management department should scientifically manage and shorten the length of hospitalization of patients with overlength hospitalization.