Analysis of the disease composition and cost trends of inpatients in a tertiary A hospital from 2010 to 2020
2010-2020年某三甲医院住院患者疾病构成及费用变化趋势分析

摘要

目的 回顾性分析近十年来某三甲医院老年住院患者的疾病谱和住院费用变化情况。方法 通过医院信息系统提取2010年至2020年60岁以上住院患者病案首页分析主要诊断、住院天数、住院总费用、转归等信息。以国际疾病分类（ICD-10）为标准对出院疾病诊断进行分类，运用SPSS17.0进行统计分析计算。结果 某三甲医院2010年至2020年60岁以上住院患者共229702例,其中男性（56.6%）多于女性（43.4%），平均年龄为（69.9±7.7）岁，老年住院患者主要诊断累计系统疾病前五位为影响健康状态和与保健机构接触的因素（18.6%）、循环系统疾病（18.0%）、肿瘤（12.3%）、消化系统疾病（8.8%）、呼吸系统疾病（8.0%），平均住院日由2010年的12.7天降至2020年的6.5天，人均住院费用由2010年的10930.0元增至2020年的14854.07元。药品比由2010年的42.4%降至2020年的23.4%。结论 某三甲医院2010年至2020年老年住院患者男性多于女性；最常见的系统疾病为影响健康状态和与保健机构接触的因素，其次为循环系统疾病、肿瘤、消化系统疾病及呼吸系统疾病；平均住院日缩短，药品比呈下降趋势,人均住院费用呈整体上升趋势于2020年出现拐点。

Abstract

Objective To retrospectively analyze the disease spectrum and hospitalization costs of elderly inpatients in a tertiary hospital in the past ten years.
Methods The first page of medical records of inpatients over 60 years old from 2010 to 2020 was extracted from the hospital information system to analyze the main diagnosis, hospitalization days, total hospitalization expenses, outcome and other information. The International Classification of Diseases (ICD-10) was used as the standard to classify the diagnosis of discharged diseases, and SPSS17.0 was used for statistical analysis and calculation.
Results There were a total of 229702 inpatients over 60 years old in a tertiary hospital from 2010 to 2020. Among them, males (56.6%) were more than females (43.4%), and the average age was (69.9±7.7) years. The elderly inpatients mainly diagnosed cumulative systemic diseases The top five factors affecting health status and contact with health care institutions (18.6%), circulatory system diseases (18.0%), tumors (12.3%), digestive system diseases (8.8%), respiratory system diseases (8.0%), average The number of hospitalization days decreased from 12.7 days in 2010 to 6.5 days in 2020, and the per capita hospitalization expenses increased from 10930.0 yuan in 2010 to 14,854.07 yuan in 2020. The drug ratio will drop from 42.4% in 2010 to 23.4% in 2020.
Conclusion   From 2010 to 2020, there are more male inpatients in a third-class hospital than female; the most common systemic diseases are factors that affect health and contact with health care institutions, followed by circulatory system diseases, tumors, digestive system diseases and respiratory system diseases; The average hospital stay is shortened, the drug ratio is on a downward trend, and the per capita hospitalization expenses are on an overall upward trend. There will be an inflection point in 2020. To.