【摘要】 目的通过对2 716例患者住院时间超30 d情况进行综合分析,提出缩短平均住院日以提高医疗资源使用效率的建议。方法对某三级甲等综合医院2 716例住院超30 d患者的临床资料进行回顾性分析。结果住院超30 d患者前三位科室是骨科408例(15.02%),其次为神经外科371例(13.66%)、康复科246例(9.06%)。从疾病构成看,排在首位的是肿瘤627例(23.09%),其次是损伤与中毒514例(18.92%)、循环系统疾病466例(17.16%)等。从病因构成看,2 065例(76.03%)是因为疾病自身原因,成为超30 d的主要原因。结论 骨科住院患者、肿瘤患者成为住院时间超30 d的主要组成人员,且疾病自身情况成为住院时间超30 d的主要原因。更多还原

【Abstract】 Objective Through the comprehensive analysis on 2 716 inpatients staying over 30 days, some useful advices to reduce the average hospitalization days and rationally use medical resource were proposed. Methods The clinical data of 2 716 inpatients staying over 30 days in some third-grade class-A comprehensive hospital were analyzed retrospectively. Results Most inpatients staying over 30 days belonged to anterior three departments: department of orthopedics, the number of inpatients was 408cases(15.02%); followed by the department of neurosurgery with 371 cases(13.66%), the department of rehabilitation with 246 cases(9.06%). From the composition of the inpatients’ diseases, the first disease was tumor, there were 627(23.09%) inpatients staying over 30 days suffered tumor, followed by injury and poisoning with 514 cases(18.92%), diseases of the circulatory system with 466 cases(17.16%) etc. From the cause of diseases, there were 2 065 inpatients staying over 30 days(76.03%) because of diseases itself cause, so this was the main cause of inpatients staying over 30 days. Conclusion Inpatients of the department of orthopedics and tumor inpatients became the main part of staying over 30 days, and the diseases itself cause was the main reason for staying over 30 days.更多还原