美国的并发病,疾病严重程度和住院时间之间的关系使用医疗保健成本和利用项目 (HCUP) 数据库
Junse Lee1, Jungmin Park2,3
1School of AI Convergence, Sungshin Women's University, Seoul 02844, Republic of Korea.
Journal of clinical medicine
|February 13, 2025
概括
住院时间 (LOS) 随着年龄和多种慢性疾病 (MCC) 的增加而增加. 患有MCC和严重疾病的老年患者在医院住院时间明显长,影响医疗保健资源利用率.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年医学 老年医学
- 流行病学 流行病学
背景情况:
- 住院时间 (LOS) 是评估医疗保健效率和患者结果的关键指标.
- 了解影响LOS的因素对于优化资源配置和患者护理策略至关重要.
- 众所周知,多种慢性疾病 (MCC) 和疾病严重程度是导致长时间住院的因素.
研究的目的:
- 引入一种估计患者LOS的方法.
- 根据MCC和疾病严重程度的存在,分析LOS的变化.
- 使用美国住院患者数据,识别与LOS相关的人口和临床因素.
主要方法:
- 利用美国2016年全国住院患者样本 (NIS) 的数据.
- 采用多项物流回归模型影响LOS的因素.
- 分析了年龄,MCC和疾病严重程度对估计的LOS的影响.
主要成果:
- 超过66%的患者患有MCC,老年患者的患病率超过90%,重症患者的患病率超过88%.
- 大多数患者 (超过85%) 在一周内出院,超过99%在一个月内出院.
- 多项逻辑回归证实,年龄较大,疾病严重程度较高和MCC与较长的LOS有显著的相关性.
结论:
- LOS与年龄的增长,疾病严重程度的增加以及MCCs的存在有关.
- 65岁以上的患者和疾病严重程度较高的患者 (得分4) 住院时间明显长.
- 在没有MCC和低疾病严重程度的年轻患者中观察到较短的LOS,而在MCC或高严重程度的患者中观察到较长的LOS.
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