摘要
目的分析儿童急性白血病患者的初次住院费用信息以及费用构成,探讨影响儿童急性白血病患者初次住院费用以及日均住院费用的影响因素,为控制住院费用提供参考依据。方法收集山东省某三甲医院小儿内科近5年入院并明确诊断为急性白血病的0~13岁儿童患者的初次住院病案资料,对儿童急性白血病患者的初次住院信息进行统计描述,对初次住院费用影响因素进行单因素分析与多重线性回归分析。结果共纳入病例124例,平均住院费用为23284.39元,日均住院费用为1071.63元;单因素分析结果显示儿童白血病患者的年龄、入院年份与住院天数等因素差异有统计学意义;多重线性回归分析发现本次住院是否入住ICU等因素差异有统计学意义。结论儿童白血病患者初次住院总费用中西药费等费用所占比例较大;住院天数是儿童急性白血病初次住院总费用的主要影响因素;本次住院是否入住ICU等因素是日均住院费用的主要影响因素。适当降低西药费以及减少无效或低效住院天数,可以有效减轻儿童急性白血病患者家庭经济负担。
Objective To analyze the information and composition of the initial hospitalization expenses of children with acute leukemia,and to discuss the influencing factors and changing trend of the initial hospitalization expenses of children with acute leukemia.Methods Medical record data were collected of children aged 0 to 13 years old admitted to the paediatric internal medicine department of a tertiary hospital and diagnosed with acute leukemia in recent five years.The primary hospitalization information of children with acute leukemia was statistically described and the influencing factors of primary hospitalization cost were analyzed by single factor analysis and multiple linear regression analysis.Results Totally 124 cases were included,the average hospitalization cost was 23284.39 yuan,and the average daily hospitalization cost was 1071.63 yuan.Univariate statistical analysis results showed that the age,admission year and length of stay of pediatric leukemia children were statistically significant,while the multivariate statistical analysis found that the admission to ICU was statistically significant.Conclusion In the total cost of the first hospitalization of children with leukemia,western medicine expenses and other expenses account for a large proportion.The length of hospital stay was the main factor influencing the total cost of the first hospitalization for acute leukemia in children.Factors such as whether or not to be admitted to the ICU are the main influencing factors of the average daily hospitalization cost.Properly reducing the western medicine cost and reducing ineffective or inefficient hospitalization days can effectively reduce the family economic burden of children with acute leukemia.
作者
刘文昊
王玖
Liu Wenhao;Wang Jiu(Department of Health Statistics, School of Public Health and Management, Binzhou Medical University, Yantai 264003, China)
出处
《中国医院统计》
2020年第6期518-521,共4页
Chinese Journal of Hospital Statistics
基金
山东省高等教育本科教改项目重点项目(Z2018X052)。
关键词
儿童急性白血病
初次住院费用
影响因素
children leukemia
initial hospitalization expense
influencing factor
