摘要
目的分析心血管疾病住院患者疾病谱及住院费用,了解疾病构成的规律特点及经济负担,为心内科疾病诊治工作提供参考依据。方法回顾性分析攀枝花市某三级医院2017-2019年心血管疾病住院患者资料,从医院相关管理信息系统中导出诊断为心血管疾病的病例条目、详细病历及病例住院费用等数据,采用描述流行病学分析方法对心血管疾病住院患者资料进行分析。结果共纳入心血管疾病住院患者11 376例,2017-2019年分别有3 492、3 815、4 069例,分别占30.7%、33.5%、35.8%,病例数逐年上升。3年间心血管疾病住院患者的性别分布差异无统计学意义(P>0.05),年龄分布差异有统计学意义(P<0.01),心血管疾病住院患者发病呈年轻化趋势。病种均以冠心病和高血压所占比例最大,合计分别占当年心血管疾病住院患者的57.6%、55.5%,2019年则上升至62.8%。3年间心血管疾病住院患者有伴发疾病比例(27.6%、26.1%、25.4%)差异无统计学意义(P>0.05)。心血管疾病住院患者住院天数分布差异有统计学意义(P<0.01),2019年的患者住院时间<7 d的比例有所上升。2017、2018、2019年该医院心血管疾病住院患者诊治自费费用分别为(5 925.6±285.7)、(5 904.2±264.3)、(5 890.9±230.8)元/人,差异有统计学意义(P<0.01)。结论 2017-2019年攀枝花市某医院心血管疾病住院患者病例数增加,住院患者发病年龄有年轻化趋势,主要病种仍以冠心病和高血压为主,住院天数及自费费用呈下降趋势。
Objective To analyze the disease spectrumand hospitalization expenses of inpatients withcardiovascular disease(CVD),understand the rules and characteristics of disease composition,and provide reference for the diagnosis and treatment of CVD. Methods Retrospectively analyzed the relevant data of CVD inpatients in a tertiary hospital in Panzhihua,2017-2019,and derived the data of the case entries,detailed medical records,and hospitalization expenses of cases diagnosed with CVD from the relevant management information system of the hospital. Descriptive epidemiological analysis method was used to analyze the data of inpatients with CVD. Results A total of 11 376 inpatients with CVD were included. From 2017 to 2019,there were 3 492,3 815,and 4 069 cases were included,accounting for 30.7%,33.5%,and 35.8%,respectively. The number of cases increased year by year. There was no statistically significant difference in the gender distribution of inpatients with CVDamongthe three years(P>0.05),butthe difference in age distribution was statistically significant(P<0.01). The onset age of inpatients with CVD tended to be younger. Coronary heart disease(CHD)and hypertension accounted for the largest proportion,accounting for 57.6% and 55.5% of inpatients with CVD in the same year,respectively,which increased to 62.8% in 2019.There was no significant difference in the proportion of inpatients with concomitant diseases(27.6%,26.1%,25.4%)amongthe threeyears(P>0.05).There was statistical significancein the distribution of hospitalization days for patients with CVD(P<0.01). In 2019,the proportion of patients staying<7 days increased. In 2017,2018 and 2019,the out-of-pocket expenses for diagnosis and treatment of CVD inpatients were(5 925.6±285.7),(5 904.2±264.3),(5 890.9±230.8)yuan/person,and the difference was statistically significant(P<0.01).Conclusion From 2017 to 2019,the number of inpatientswithCVD in a hospital in Panzhihua has increased,and the onset age of inpatients tend to be younger. The main diseases arestill CHD and hypertension,and the number of days of hospitalization and out-of-pocket expenses have showed a decreasing trend.
作者
张绩琼
闫玉九
衡旭华
唐柳
杜鑫
ZHANG Ji-qiong;YAN Yu-jiu;HENG Xu-hua;TANG Liu;DU Xin(Affiliated Hospital of Panzhihua University,Panzhihua 617000,China)
出处
《华南预防医学》
2021年第3期288-291,共4页
South China Journal of Preventive Medicine
基金
四川省医学会科研基金项目(SDH13-08)。
关键词
住院
疾病谱
心血管疾病
经济负担
Hospitalization
Disease spectrum
Cardiovascular disease
Economical burden
