2017-2022年驻黔某医院消化科收治病人疾病分析
联勤保障第九二五医院, 消化内科, 贵州贵阳 550009
| 摘 要： | 目的：调查驻黔解放军某医院2017－2022年消化科住院患者疾病谱，为联勤保障疾病防治及医疗资源合理配置提供依据。方法：利用医院His系统获取该医院2017-01至2022-12患者住院病例，按照国际疾病（ICD-10）进行统计并制成表格，采用风锐统计软件进行分析。结果：共纳6年消化科收治住院患者约为702人次入次住院信息，中位年龄25岁。导致患者住院的系统疾病排名前2位的是胃疾病，肠疾病，分别占总体的44%，34%，影响住院费的因素，包括人员身份，单位，以及年龄。整体住院人群中相对费用低，而级别越高的干部费用越高。多元回归分析提示年龄是住院费用独立因素β=37.6，可性区间（20.7, 54.4）p<0.001，时提示高级别干部住院费仍然是最高，而不同单位中最低为基层患者，而干休所以及其他单位（减免费用家属）费用较高。结论：根据该医院消化科收治患者的疾病谱特点，科学合理利用医疗资源为服务，为基层单位服务，做好卫勤保障策略、健康宣教工作。 |
| 关 键 词： | 收治病人分析; 消化疾病; 驻黔 |
| DOI： | 10.57237/j.wjcm.2023.04.002 |
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收稿日期: 2023-10-12
接受日期: 2023-11-22
在线出版日期: 2023-11-27
Analysis of Diseases Treated in the Digestive Department of a Hospital in Guizhou Province from 2017 to 2022
Digestive Internal Medicine Department, Joint Logistics Support 925 Hospital, Guiyang 550009, China
| Abstract: | Objective: To investigate the disease spectrum of inpatients in the digestive department of a military hospital stationed in Guizhou province from 2017 to 2022, in order to provide a basis for disease prevention and treatment as well as rational allocation of medical resources in joint logistics support. Methods: The hospital's HIS system was used to obtain inpatient cases from January 2017 to December 2022. The cases were categorized according to the International Classification of Diseases (ICD-10) and compiled into an Excel spreadsheet. Free statistical software was used for analysis. Results: A total of approximately 702 inpatient cases were included in the analysis, with a median age of 25 years. The top two systemic diseases leading to hospitalization were gastric diseases (44%) and intestinal diseases (34%). Factors influencing hospitalization costs included personnel identity, unit, and age. Overall, the relative cost of hospitalization was lower for the general population, while higher-ranking officials incurred higher costs. Multiple regression analysis indicated that age was an independent factor for hospitalization costs (β=37.6, 95% CI: 20.7-54.4, p<0.001). It was also found that hospitalization costs for higher-ranking officials remained the highest, while patients from grassroots units had the lowest costs. Costs were higher for patients from sanatoriums and other units (with cost reductions for family members). Conclusion: Based on the disease spectrum of patients treated in the digestive department of this hospital, it is recommended to scientifically and reasonably utilize medical resources to serve grassroots units and develop strategies for medical support and health education. |
| Keywords: | Analysis of Inpatient Cases; Digestive Diseases; Stationed in Guizhou |
基金
| 1. | 关于驻黔部队患胃食管反流病相关危险因素的回顾性研究, 驻黔部队官兵幽门螺杆菌感染与功能性胃肠病风险的相关性研究, 2022“联勤保障部队第925医院院内课题” (YNKT2022-03/04) |
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