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目的采用病案首页信息数据,对择期手术术前平均住院日的影响因素进行分析,为提高医院的管理水平、整体服务效率和医疗服务质量,降低患者的经济负担,提供统计分析依据。方法数据处理采用描述性统计、两独立样本t检验及单因素方差分析方法。结果符合条件的病例数共24,538例,患者在年龄和不同时间入院,其术前平均住院日总体上有显著性统计差异(P<0.05);5种伴随病的术前平均住院日均有显著性统计差异(P<0.05)。结论年龄与伴随疾病是术前平均住院日的重要影响因素,入院前风险评估以及医院政策制定直接影响术前住院日,所以合理配备医院资源,大力开展日间手术和临床路径管理工作,达到提高工作效率,缩短术前平均住院日的目的。
Objective To analyze the influential factors of preoperative average length of stay in preoperative elective surgery by using the information of the first page of medical records and to provide the basis for statistical analysis in order to improve the management level, overall service efficiency and medical service quality of hospitals and reduce the economic burden on patients. Methods Data processing using descriptive statistics, two independent samples t test and one-way analysis of variance. Results A total of 24,538 cases were eligible. The average preoperative hospital stay was significantly different between the two groups (P <0.05). The mean length of preoperative hospital stay was significantly different Sex differences (P <0.05). Conclusions Age and concomitant disease are the important factors influencing preoperative average length of stay. Risk assessment before hospitalization and hospital policy make a direct impact on preoperative hospitalization days. Therefore, rational allocation of hospital resources and vigorous daytime operation and clinical path management should be achieved Work efficiency, shorten the average preoperative hospital stay purpose.