湖南省某儿童医院跌落伤导致的住院费用及其影响因素研究.pdfVIP

.929. 中国卫生统计2016 年 12 月第33 卷第6 期 湖南省某儿童医院跌落伤导致的住院费用及其影响因素研究* 中南大学公共卫生学院流行病与卫生统计学系(41∞78) 常艳孙振球刘四云粘惠瑜邵凯房豆胡明A [提 要] 目的 了解湖南省某儿童医院跌落伤患者的住院费用及其影响因素，为减少跌落伤导致的疾病负担提供 策略。方法 自湖南省某儿童医院的医院信息系统中收集2010 -2014 年确诊为跌落伤的患者有关信，息，采用Cochran­ Armitage 趋势检验对不同年份的住院费用进行趋势分析，采用秩和检验和递归模型对患者住院费用的影响因素进行分 析，采用通径图对住院费用影响因素的直接和间接效应进行描述，并对各因素造成的总效应进行排序。结果 湖南省某 儿童医院人均住院费用逐年增加，住院费用影响因素的总效应排序依次为年龄、创伤部位、疾病转归、住院天数、跌落位 置、受伤性质、住院季节、户口所在地。结论 高龄儿童、四肢受伤、未愈患者等均导致住院费用增加。应采取针对性措施 减少儿童跌落发生，及时诊断和治疗跌落导致的损伤，预防伤残发生，在基层医疗开展跌落伤的康复工作以减少医疗负 担。 {关键词]跌落伤住院费用影响因素递归模型 A Study on the Influence Factors of the HospitaIization Costs of Injury from FaU in a Childrens Hospital of Hunan Province Chang Yan ,Sun Zhenqiu ,Liu Si归n ， et al (Department of Epidemiology and Statistics ,School of Public Health ,Central South U- niversiη(41∞78) ， C阳ngs如) [Abstract 1 0时ective To understand 阳influence factors of the hospitalization costs of inj町from fall in a chil曲的 hospita1 of Hunan province and provide the prevention strategies to reduce the disease burden caused by fall injury. Metb创Is The data comes 仕om a children s hospita1 of Hunan province Hospita1 Information System ,and the patients diagnosed with fall i可ury from 2010 tO 2014.ηle Cochran-Armitage trend test was u岱d tO analyze the hospitalization costs of different y，臼rs;and u- sing rank sum test and recursive model analyze the influence factors of the hospitalization costs. Path diagram was used to de- scribe 由e direct effect and indirect effi巳ct of the influence facωrs on hOspitalization ∞sts; and sort 由e influence factors by tota1 effect. Results 白眼 hOspitalization costs inαeased y回r by ye缸. Sort the influence facωrs by tota1 effect On hospitalization cos也 :age ，也e site of t