摘要
目的评价冠脉支架植入术病例患者入院日期对平均住院日影响。方法选取2016年1月1日-12月31日某院冠脉支架植入术患者10 758例,共涉及3个不同DRG组别。应用方差分析不同时期入院的患者在平均住院日上是否存在差异,并进一步分析术前及术后的差异。结果支架植入术患者平均住院日为4.58天,其中FM11组患者为4.94天(F值为17.149,P<0.05);FM13组患者为4.38天(F值为41.382,P<0.05);FM15组患者为3.93天(F值为14.567,P<0.05);进一步分析FM15组,术前平均住院日T值为-9.234,P<0.05,术后平均住院日T值为0.074,P>0.05。结论同一DRG组别内,不同时期入院的患者在平均住院日上的差异存在统计学意义。医院管理者关注入院日期、优化住院流程、缩短术前平均住院日、应该成为降低无效住院日的重要手段。
Objective To evaluate whether the date of admission will affect the average length of hospitalization. Methods A total of 10,758 patients with coronary stent implantation were selected in 2016, involving three different DRGs groups. The variance analysis was used to calculate whether there was any difference in the average day of hospitalization between patients admitted to the hospital at different times, and the differences between preoperative and postoperative were further analyzed.Results The results showed that patients with stent implantation had an average hospital day of 4.58 days, of which the FM11 group had 4.94 days, the F value was 17.149, and P<0.05;The PFM13 group had 4.38 days, the F value was 41.382, and P<0.05;The FM15 group had 3.93 days, the F value was 14.567, and P<0.05, further analysis of FM15 group, preoperative average hospital day T value of-9.234, P<0.05, the average day of hospitalization after surgery was 0.074, P<0.05.Conclusion In the same DRGs group, the difference in the average hospitalization day of patients admitted to hospital at different periods has statistical significance. Hospital managers pay attention to the date of admission, optimize the hospitalization process, and shorten the average pre-operative hospitalization day. It should be an important means to reduce the invalid hospitalization day.
作者
吴朝阳
马云波
Wu Zhaoyang;Ma Yunbo(Beijing Anzhen Hospital,Capital Medical University,Beijing 100083,China)
出处
《中国病案》
2019年第12期65-67,共3页
Chinese Medical Record
