摘要
目的:分析康复医院住院患者发生意外跌倒的特征、损失、原因,提出预防对策,为促进医院运营管理提供科学参考。方法:采用回顾性研究分析2019—2022年某康复医院17529名住院患者的一般资料、诊疗情况、跌倒特征及卫生经济损失情况。结果:住院患者意外跌倒发生率为0.95%,占医院不良事件的48.13%。不同性别、年龄的患者跌倒发生率差异均无统计学意义(P>0.05)。跌倒组患者的住院天数、住院总费用明显高于非跌倒组(P<0.05),住院天数平均多25天,住院总费用平均增加0.64万元。不同病种患者的跌倒发生率比较差异有统计学意义(P<0.05),其中脊髓损伤、烧伤、肌骨损伤跌倒患者的住院天数明显增多(31~60天),发生的经济损失分别为6.88万元、5.29万元、3.50万元。结论:意外跌倒是康复医院的主要不良事件。脊髓损伤、烧伤等重度损伤患者更容易发生跌倒。康复医院跌倒患者发生的经济损失明显高于综合医院。康复医院应结合患者特征制定针对性的干预措施,预防跌倒事件发生,减少经济损失。
Objective:To analyze the characteristics,losses,and reasons for accidental falls in inpatients of rehabilitation hospi⁃tals,propose preventive measures,and to provide scientific references for hospital operations management.Methods:A retrospective study was conducted to analyze the general information,diagnosis and treatment,falling characteristics,and economic losses of 17529 inpatients in a rehabilitation hospital from 2019 to 2022.Results:The incidence of accidental falls among inpatients in this study was 0.95%,accounting for 48.13%of hospital adverse events.There was no statistically significant difference in the incidence of falls among patients of different genders and ages(P>0.05).The hospitalization days and total hospitalization expenses of the fall group were significantly higher than those of the non-fall group(P<0.05),with an average increase of 25 days and 6400 yuan in to⁃tal hospitalization expenses.There was a statistically significant difference in the incidence of falls among patients with different dis⁃eases(P<0.05).Among them,patients with spinal cord injuries,burns,and musculoskeletal injuries had significantly longer hospital⁃ization days(31-60 days)and economic losses of 68800 yuan,52900 yuan,and 35000 yuan,respectively.Conclusion:Accidental falls are the main adverse events in rehabilitation hospitals.Patients with severe injuries such as spinal cord injuries and burns are more prone to falls.The economic losses caused by falls in rehabilitation hospitals are significantly higher than those in comprehen⁃sive hospitals.Rehabilitation hospitals should develop targeted interventions based on patient characteristics to prevent falls and re⁃duce economic losses.
作者
张焕金
商艳萍
林岳卿
王晓云
刘艳瑰
刘川
谢粟梅
陈星伟
Zhang Huanjin;Shang Yanping;Lin Yueqing(Guangdong Work Injury Rehabilitation Hospital,Guangzhou,510440,China;不详)
出处
《中国卫生经济》
北大核心
2023年第10期41-44,54,共5页
Chinese Health Economics
基金
广东省医学科学技术研究基金项目(B2023471)。
关键词
康复医院
意外跌倒
经济损失
损失经济学
rehabilitation hospital
accidental falls
economic loss
loss economics
