928例老年患者住院超30天回顾性分析

Retrospective Analysis of 928 Elderly Patients Hospitalized for more than 30 Days

目的 分析三甲医院老年患者住院超30天的住院特征,为提高老年患者医疗服务质量、缩短医院平均住院日提供依据。方法 在江西省某三甲医院His系统中检索2020年1月1日-2020年12月31日住院时间超过30天、年龄60岁及以上的患者住院病案首页信息,共提取928例。结合临床科室上报的“住院时间超过30天的患者上报表”相关信息,包括患者基本信息、入院时间、入住科室、目前诊断、住院超30天原因、下一步诊疗计划等,利用SPSS软件进行统计分析。结果 928例老年住院超30天患者男女比例为1.95:1,平均年龄70.71岁,住院天数主要集中在31岁~40天、41岁~50天,平均住院天数为45.8天,例数最多的前10位出院科室依次是神经外科、烧伤科、骨科、普外科、神经内科、呼吸与危重症医学科、重症医学科、老年医学科、肿瘤科、康复科;从疾病构成上看,肿瘤占比最高,占26.83%。结论 应采取有效措施对老年住院超30天患者重点管理,针对主要年龄段人群、重点科室和重点病种进行监管,发展MDT诊疗模式,开展临床路径,加强医联体建设,科学合理地缩短老年患者平均住院时间。

Objectives To analyze the hospitalization characteristics of elderly patients in Three A and Tertiary Hospitals for more than 30 days, so as to provide a basis for improving the quality of medical services for elderly patients and shortening the average length of hospital stay. Methods The front page information of patients aged 60years old and above who were hospitalized for more than 30 days in 2020 was searched in his system of a Three A and Tertiary Hospital in Jiangxi, and the related fields were extracted, and the related information of "report on patients who were hospitalized for more than 30 days" reported by clinical departments was extracted, and SPSS was used for statistical analysis. Results The male to female ratio of 928 elderly patients hospitalized for more than 30 days was 1.95:1, with an average age of 70.71 years. The hospitalization days were mainly concentrated in 31-40 days and 41-50 days, with an average hospitalization days of 45.8. The top 10 discharged departments with the largest number of cases were neurosurgery, burn department, orthopedics department, general surgery department,neurology department, respiratory and critical care medicine department, critical care medicine department,geriatrics department, oncology department, rehabilitation department. In terms of disease composition, tumors accounted for the highest proportion, accounting for 26.83%. Conclusions Effective measures should be taken to focus on the management of elderly patients hospitalized for more than 30 days, supervise the main age groups, key departments and key diseases, develop the MDT diagnosis and treatment model, carry out clinical pathways,strengthen the construction of medical alliances, and scientifically and reasonably shorten the average length of hospital stay for elderly patients.