摘要
目的分析某三甲医院2014—2023年急性心肌梗死患者基本特征,为该疾病的防治管理及单病种质量控制提供借鉴。方法基于某三甲医院2014年1月1日—2023年12月31日急性心肌梗死患者病案首页数据,分析急性心肌梗死住院患者基本特征和住院费用趋势,总结其发展规律。结果近十年,急性心肌梗死住院患者数量呈增长趋势,平均住院日、住院次均费用及病死率呈下降趋势。19937名患者中,男性患者16037人次(80.44%),女性患者3900人次(19.56%),男女性别比4.11∶1,男性年龄中位数60岁,女性年龄中位数68岁,男性群体发病年龄较女性群体早近10年。60岁以上患者,病死率与年龄成正相关,60岁以下患者,病死率与年龄成负相关。是否进行手术对住院费用影响较大,从费用结构看,耗材占比近十年从69.81%下降到54.60%,总体仍偏高。结论随着医院精细化管理及医保政策的推进,急性心肌梗死诊疗能力和诊疗质量有较大提升,耗材管理仍是重点。男性和50岁以上人群是重点关注对象,在患者诊疗过程中,应对年龄较小或较高患者及女性患者提高关注,降低病死率。
Objective To analyze the basic characteristics of patients with acute myocardial infarction in a tertiary hospital from 2014 to 2023,and provide references for the prevention,treatment,management,and quality control of this disease.Methods Based on the data from the medical records of patients with acute myocardial infarction admitted to a tertiary hospital from January 1,2014,to December 31,2023,the basic characteristics of hospitalized patients and trends in hospitalization costs were analyzed to summarize the development patterns.Results Over the past decade,the number of hospitalized patients with acute myocardial infarction has been increasing,while the average length of hospital stay,average cost per hospitalization,and mortality rate have been decreasing.Among the 19937 patients,there were 16037 male patients(80.44%)and 3900 female patients(19.56%),with a male-to-female ratio of 4.11∶1.The median age for male patients was 60 years,while for female patients it was 68 years,indicating that males tend to develop the disease approximately 10 years earlier than females.Among patients aged 60 and above,the mortality rate is positively correlated with age,while among patients below 60,the mortality rate is negatively correlated with age.The decision to undergo surgery has a significant impact on hospitalization costs.From the perspective of cost structure,the proportion of consumables has decreased from 69.81%to 54.60%in the past decade but remains relatively high.Conclusion With the advancement of hospital management and medical insurance policies,the diagnosis,treatment,and quality of care for acute myocardial infarction have significantly improved.However,consumables management remains a key focus.Men and individuals aged 50 and above should be given special attention.During the diagnosis and treatment process,greater attention should also be given to younger or older patients and female patients to reduce the mortality rate.
作者
张文
张欣欣
聂晓瑛
许莹
李汶嘉
郭咿玮
张蓓蕾
王彬翀
ZHANG Wen;ZHANG Xinxin;NIE Xiaoying;XU Ying;LI Wenjia;GUO Yiwei;ZHANG Beilei;WANG Binchong(First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,China)
出处
《现代医院》
2025年第1期72-75,共4页
Modern Hospitals
关键词
急性心肌梗死
患者特征
住院费用
趋势
Acute myocardial infarction
Patient characteristics
Hospitalization costs
Trends
