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[目的]以出院计划服务规划方案为基础,评估SU对住院天数(LoS)的影响。[方法]收集自2007年10月～2010年10月入住某市三甲医院的急性卒中患者的相关数据,探讨SU对住院天数的影响。[结果]1297例卒中患者平均年龄(73.9±13.3)岁(范围:20～96岁),平均住院天数(25.6±37.1)d(中位数:11d)。出院结果示25.4%的患者死亡,48.8%的患者回家,21.4%的患者社区医院继续治疗,4.3%去其他形式的康复机构。这些患者中,入住卒中单元的占37.6%,与普通病房比较,住院天数明显缩短(19.3±23.0vs23.9±34.9d;P=0.038)。然而卒中死亡率相似,在普通病房与社区医院的康复率明显降低(30.4%vs40.9%;P﹤0.001)。[结论]急性SU比出院规划方案住院天数还要短,且大大降低了在医院康复的需要。应进一步调查探讨急性SU对患者功能状态的影响。
[Objective] To evaluate the effect of SU on the length of stay (LoS) on the basis of the discharge planning service planning plan. [Methods] Data collected from patients with acute stroke admitted to the top three hospitals in a city from October 2007 to October 2010 were collected to investigate the impact of SU on the days of hospitalization. [Results] The average age of 1297 stroke patients was (73.9 ± 13.3) years (range: 20-96 years) and average length of stay was (25.6 ± 37.1) days (median: 11 days). The results of the discharge showed that 25.4% of the patients died, 48.8% returned to their homes, 21.4% went to community hospitals and 4.3% went to other forms of rehabilitation institutions. Among these patients, 37.6% were admitted to stroke units and were significantly shorter in hospital days than in general wards (19.3 ± 23.0 vs. 23.9 ± 34.9 days; P = 0.038). However, stroke death rates were similar, with significantly lower recovery rates in general wards and community hospitals (30.4% vs 40.9%; P <0.001). [Conclusion] The acute SU is shorter than hospital discharge planning days and greatly reduces the need for rehabilitation in hospitals. Further investigation should investigate the impact of acute SU on patients with functional status.