副作用对第三级医院住院患者结果的影响,使用与诊断相关的群组数据库
Rui Fan1, Zhiyu Yan2, Anshi Wang3
1Medical Quality Management Office, Ningbo Medical Center Lihuili Hospital, Xingning Road 57, Yinzhou District, Ningbo, 315000, China.
Scientific reports
|August 5, 2024
概括
不良事件 (AE) 显著增加住院时间和费用. 这些事件也降低了患者被送回家的可能性,突出了医疗保健负担的重大程度.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 卫生经济学 卫生经济学
背景情况:
- 由于医疗服务的复杂性,不良事件 (AE) 对医疗保健系统构成重大挑战.
- 很难评估AE对患者结果和医疗保健资源利用的确切影响.
研究的目的:
- 通过使用诊断相关组 (DRG) 数据库来评估AE对住院患者结果的影响.
- 量化AE对停留时间 (LOS),住院费用和出院目的地的影响.
主要方法:
- 一项使用来自中国一家大型三级医院的DRG数据库的病例控制研究.
- 基于DRG的匹配被用于将AEs患者与匹配的对照患者进行比较.
- 统计分析包括霍奇斯-莱曼估计,通用线性回归和逻辑回归.
主要成果:
- 副作用与住院时间 (调整后的差异为8.31天) 和住院费用 (调整后的差异为2822.67美元) 的显著增加有关.
- 经历AE的患者在家出院的几率较低 (调整后OR:0.75).
- 副作用对LOS和成本的影响在复杂疾病和中度至重度伤害病例中更为明显.
结论:
- 不良事件对中国的住院患者造成了巨大的负担,增加了住院时间和费用,并对出院结果产生了负面影响.
- 诊断相关组 (DRG) 数据库是评估和管理不良事件的宝贵资源.
- 针对复杂疾病和严重伤害病例的有针对性的干预措施对于减轻AE的影响至关重要.
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