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目的通过对某肿瘤专科医院2014年胃癌病例术前住院日的分析,为进一步缩短胃癌乃至全院手术病例的术前住院日提供参考。方法对该院2014年胃癌手术病例的术前住院日、住院日、住院费用等信息进行回顾性分析。结果术前住院日>5天组和≤5天组胃癌病例的住院日和住院费用分别为22.66天、16.04天和99598.79元、90 798.38元,术前住院日的延长增加了患者的住院日和住院费用;科室管理、手术难度和术前会诊等因素会影响胃癌病例的术前住院日。结论该院可通过提高全院医务人员缩短术前住院日的意识、将术前平均住院日纳入医院绩效考核体系、推进临床路径等措施,在保证医疗质量和安全的前提下,进一步缩短术前住院日。
Objective To analyze the preoperative hospitalization days of gastric cancer cases in a tumor specialist hospital in 2014 so as to provide reference for further shortening the preoperative hospitalization days for gastric cancer and even hospitalized cases. Methods Retrospective analysis was performed on the information such as the preoperative hospitalization days, hospitalization days and hospitalization expenses of gastric cancer cases in 2014 in the hospital. Results The hospitalization days and hospitalization costs of patients with gastric cancer> 5 days before operation and less than 5 days before operation were 22.66 days, 16.04 days, and 99598.79 yuan, respectively, and 90 798.38 yuan. Preoperative hospitalization days increased the hospitalization days and Hospitalization costs; department management, surgical difficulty and preoperative consultation and other factors will affect the preoperative hospitalization days of gastric cancer cases. Conclusion The hospital can improve the awareness of hospital staff to shorten the length of preoperative hospitalization, including preoperative average length of stay in the hospital performance appraisal system, and promote clinical path and other measures to further shorten the preoperative under the premise of ensuring medical quality and safety Hospitalization days.