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| 上海市某三甲医院2011-2016年慢性肾脏病住院患者调查分析 |
| 龙俊睿1,单婵娟1,杨群娣2,刘馨颖3,王九生3,梅长林3*,熊林平1* |
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(1. 第二军医大学卫生勤务学系卫生事业管理学教研室, 上海 200433;
2. 上海市疾病预防控制中心, 上海 200336;
3. 第二军医大学长征医院肾内科, 解放军肾脏病研究所, 上海 200003
*通信作者) |
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| 摘要: |
| 目的 分析上海市某三甲医院2011-2016年慢性肾脏病（CKD）住院患者住院基本情况及相关费用，为进一步了解和改善上海市CKD患者的就医现状提供参考。方法 整理上海市某三甲医院2011-2016年CKD住院患者的病案资料，统计患者的年龄、性别、住院日、疾病诊断、住院费用等情况。对CKD住院患者的一般情况、疾病诊断情况采用简单的统计描述方法，计算各项指标的占比情况；CKD患者的住院诊疗情况、住院费用情况采用方差分析和非参数检验等方法，比较相应组间数据的差异。结果 来自上海周边的江苏、浙江、安徽和江西地区的住院患者占49.97%（10 033/20 079），超过上海本地住院患者（38.78%，7 787/20 079）；罹患慢性肾功能衰竭的住院患者所占比例最高，达到51.98%（10 438/20 079），并且该病有年轻化趋势；人均住院费用呈现逐年升高的态势，2016年住院费用中位数已达8 252.51元，不同年份人均住院费用差异有统计学意义（P<0.001）。结论 应采取积极有力的措施应对大量外地患者来沪就医的问题；有必要在广大青年人群中普及有关CKD的相关知识，减少因患病而带来的社会和个人的损失；CKD导致的疾病经济负担有待进一步深入研究。 |
| 关键词: 慢性肾脏病 住院患者 费用 住院天数 上海 |
| DOI：10.16781/j.0258-879x.2018.01.0013 |
| 投稿时间：2017-08-04修订日期：2017-09-27 |
| 基金项目:上海市公共卫生体系建设三年行动计划（SCREENING STUDY GWIV-18）. |
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| Investigation of inpatients with chronic kidney disease in a tertiary referral hospital in Shanghai from 2011 to 2016 |
| LONG Jun-rui1,SHAN Chan-juan1,YANG Qun-di2,LIU Xin-ying3,WANG Jiu-sheng3,MEI Chang-lin3*,XIONG Lin-ping1* |
(1. Department of Health Service Management, Faculty of Health Service, Second Military Medical University, Shanghai 200433, China;
2. Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China;
3. Department of Nephrology, Kidney Institute of PLA, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
*Corresponding authors) |
| Abstract: |
| Objective To analyze the demographic information and related costs of inpatients with chronic kidney disease (CKD) in a tertiary referral hospital in Shanghai from 2011 to 2016, so as to provide reference for further understanding and improving the current situation of medical treatment of patients with CKD in Shanghai. Methods We retrospectively reviewed the clinical data (age, gender, hospital stay, disease diagnosis, hospitalization expenses and so on) of inpatients with CKD in a tertiary referral hospital in Shanghai from 2011 to 2016. The general characteristics and disease diagnosis of the inpatients with CKD were statistically analyzed by calculating the proportion of each index using a simple statistical description method. The treatment, hospitalization expenses of the inpatients with CKD were compared between different groups by variance analysis and non-parametric test. Results The percent of inpatients from Jiangsu, Zhejiang, Anhui and Jiangxi provinces around Shanghai was 49.97% (10 033/20 079), surpassing that of inpatients from Shanghai (38.78%, 7 787/20 079). The proportion of inpatients with chronic renal failure was the highest (51.98%, 10 438/20 079), and more young people tended to suffer from the disease. The per capita hospitalization expense was increased annually, and the median hospitalization expense was 8 252.51 yuan in 2016. There were significant differences in per capita hospitalization expenses between the different year groups (P<0.001). Conclusion Active and effective measures should be taken to deal with the problem of large numbers of nonlocal patients seeking medical services in Shanghai. It is necessary to popularize the knowledge about CKD in young people, and reduce the social and personal losses due to the illness. The economic burden caused by CKD needs to be further studied. |
| Key words: chronic kidney disease inpatients expense hospital stay Shanghai |
