摘要
目的分析某肿瘤医院一周内不同时间入院对手术患者实际住院天数超过15天的影响,探究患者入院时间对其住院天数的影响。方法利用病案首页系统中2015年出院手术患者16 620例的数据资料,通过Logistic回归模型调整人口学特征,得到1周不同入院时间对患者实际住院天数超过15天的影响。结果相较于周一入院的患者,周二(OR=1.11,95%置信区间:1.01~1.23,P=0.051)、周三(OR=1.10,95%置信区间:1.00~1.22,P=0.051)、周四(OR=1.29,95%置信区间:1.17~1.44,P<0.001)和周五及周六日入院(OR=1.64,95%置信区间:1.48~1.82,P<0.001)的实际住院天数超过15天的风险均增加。结论 1周内不同入院时间对患者实际住院天数有影响。合理的检查和手术时间安排可以缩短住院日,更好的配置医疗资源。
Objective To analyze the effect of different admission time on the surgery operation patients with actual hospitalization days more than 15 days in a cancer hospital. Methods The data of 16620 cases operation patients discharged in 2015 was got from the system of medical record front pages. The effects of the admission time in long actual hospitalization days （〉 15 days） were calculated by Logistic regression model. Results Compared with patients admitted to hospital on Monday, the patients admitted on Tuesday （OR=1. 11, 95%CI： 1.01 1.23, p=0. 051） , on Wednesday （OR=1. 10, 95%CI： 1.00 1.22, p=0. 051）, on Thursday （OR=1. 29, 95%CI： 1.17 1.44, p〈0. 001）, and on Friday or after （OR=1. 64, 95%CI, 1.48-1.48, p〈0. 001） had increased risks to be hospitalized more than 15 days in hospital. Conclusions Different admission time in a week had a significant influence on the actual hospitalization days in cancer hospital patients with surgery operation. Reasonable examination and operation time could shorten hospitalization days and better configuration of medical resources.
出处
《中国病案》
2017年第5期66-68,共3页
Chinese Medical Record
