温州地区脑卒中住院患者费用分析

石玲燕; 金嵘; 郑荣远; 王小同; 韩钊

doi:10.11847/zgggws2006-22-08-84

温州地区脑卒中住院患者费用分析

Analysis on hospital-based costs of stroke in Wenzhou city

摘要

摘要:
目的分析温州地区脑卒中患者的住院费用构成及其影响因素, 为降低脑卒中患者的住院费用提供依据。
方法采用回顾性分析方法, 对温州地区1 037例脑卒中患者住院总费用进行构成比分析及采用单因素方差、多元逐步回归分析影响总费用的主要因素。
结果脑卒中患者住院总费用中构成比最大的是药费, 占48.62%;其次是治疗费, 占15.85%。影响住院费用的主要因素是住院天数、呼吸道感染、意识障碍、尿失禁、上消化道出血、尿路感染、卒中类型、入院科室、入院时改良的Rankin评分(modified rankin scale, mRS)。
结论对脑卒中患者应采取科学有效的诊疗措施, 减少无效住院日及规范用药是降低住院费用的关键。

Abstract:
Objective To evaluate the current status of cost of stroke in Wenzhou and its influencing factors.
Methods The study population included 1037 patients who were admitted to the first affiliated hospital of Wenzhou medical college.The composition of cost for care of 1037 stroke patients was analyzed.ANOVA and Multivariate regression analysis were used to determine the influencing factors of costs.
Results 48.62% and 15.85% of total cost was attributed to medications and therapy, respectively.Total hospital costs were correlated strongly with length of stay, respiratory infection, unconscious, incontinent, upper gastrointestinal hemorrhage, Urinary tract infection, stroke subtype, admission ward and modified rankin scale(mRS)at admission.
Conclusion Scientific and effective measures focusing on stroke should be recommended.Reducing unnecessary stay in hospital and appropriate prescribing are the key to reduce cost of hospital patients.

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