某县级三甲中医院超长住院日患者分布特征

Study on the Distribution Characteristics of Patients with Extra-long Inpatient Days in a County-level Class-A Hospital of Traditional Chinese Medicine

目的 分析某县级三甲医院2020年度超长住院日患者分布特征,为缩短医院平均住院日,提供依据。方法 通过医院病案信息管理系统导出全院2020年63219例患者住院病案首页信息,数据处理采用EXCEL,用SPSS 23.0对超长住院日进行描述性分析。结果 2020年超长住院日患者661例(占比0.97%),其中男性380例,女性281例,男女比例1.35:1;65岁以上患者所占比例最高(43.7%);平均住院日59.2天;前五位出院科室是放疗科、精神病科、康复科、脑外科和小儿骨科,累积构成比69.44%;前五位疾病是影响健康状态和保健机构接触的因素、损伤、中毒和外因的某些其他后果、精神和行为障碍、循环系统疾病和肿瘤,累积构成比85.48%;661例超长住院日患者的平均住院费用为47291.39元。结论 超长住院日患者中,男性,65岁以上患者,放疗科、精神病科,影响健康状态和保健机构接触的因素、损伤、中毒和外因的某些其他后果患者占比多,医院应采取多种措施加强对这类人群、疾病及科室的监管,以降低平均住院日。

Objective To analyze the distribution characteristics of patients with long hospital stays in a county-level tertiary hospital in 2020,and provide a basis for shortening the average hospital stay.Methods The hospital medical record information management system was used to export the first page information of the hospital’s 63,219 discharged patients in 2020.The data was processed using EXCEL and SPSS 23.0 was used to descriptively analyze the long hospital stay.Results In 2020,there were 661 patients with extra-long hospitalization days(0.97%),including 380 males and 281 females,with a male-female ratio of 1.35:1;the proportion of patients over 65 years old was the highest(43.7%);the average hospital stay was 59.2 days;The top five discharge departments are radiotherapy,psychiatry,rehabilitation,brain surgery and pediatric orthopedics,with a cumulative composition ratio of 69.44%;the top five diseases are factors that affect health and health care institutions,injuries,poisoning and external causes.Some other consequences,mental and behavioral disorders,circulatory system diseases,and tumors constitute a cumulative ratio of 85.48%;the average hospitalization cost of 661 patients with extra-long hospitalization days is 47291.39 yuan.Conclusions Among patients with extra long hospital days,men,those over 65 years old,radiotherapy,psychiatry,factors affecting health status and exposure to health care institutions,injuries,poisoning,and some other consequences of external causes account for a large proportion.The hospital should take more Measures to strengthen the supervision of such groups of people,diseases and departments to reduce the average length of stay.