四川省某三级综合医院日间手术优先术种筛选研究

doi:10.3969/j.issn.1006-5253.2023.03.010

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Abstract Objective To assess the efficacy of day surgery in reducing the hospitalization duration and cost for different diagnosis-related groups (DRGs) in a tertiary general hospital situated in Sichuan Province and to provide crucial evidence to facilitate the identification of suitable types of day surgery for screening purposes.Methods The information of patients undergoing surgery in a hospital from June 2021 to May 2022 was retrospectively analyzed, and the relevant data during the treatment period were collected. Patients who did not perform the day surgery mode were taken as the control group, and patients who performed the day surgery mode were taken as the observation group. SPSS was used to analyze the relevant indicators and hospitalization costs during the treatment of the two groups, and DRG evaluation system was used for evaluation.Results There were 1 621- patients including 543 patients with day surgery, and 1 078 hospitalized patients with elective surgery. In terms of hospital stay, day surgery was lower than elective surgery in hospital, and the difference was statistically significant (P<0.05). In terms of hospitalization costs, there was no statistically significant difference observed between the two groups in blepharon adhesion separation and extensor tendon suture (P>0.05). However, a significant difference was observed between the two groups for other surgical procedures (P<0.05). In terms of day/hospital choice composite index, the composite indexes of urethral lesion resection, transurethral ureteral stenting and fracture internal fixation removal were all<0.1, and the composite indexes of other procedures were all≥0.1 and <0.5.Conclusion Based on the assessment of the day/hospital choice comprehensive index, surgical procedures with lower index values can be prioritized for day surgery while maintaining the same level of safety. Conversely, surgical procedures with higher index values can be classified as general operations.

Key words： day surgery diagnosis-related group hospitalization time medical expense

Received: 08 September 2022

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	Huang Qin
	Xu Chiheng
	Chen Xinyu

Cite this article:

Huang Qin,Xu Chiheng,Chen Xinyu. Screening of priority day surgery types in a tertiary general hospital in Sichuan Province[J]. journal1, 2023, 30(3): 211-215.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2023.03.010 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2023/V30/I3/211

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