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| Investigation on the distribution characteristics and influence factors of patients staying over 30 days in a Women and Children Hospital and Care Institute |
| Sun Hongxia, Wang Fang |
| Medical Record Management Department, the Third Affiliated Hospital of Zhengzhou University (Henan Maternal and Child Health Care Hospital), Zhengzhou 450052, China |
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Abstract Objective To analyze the characteristics and influencing factors of inpatients staying over 30 days in a Women and Children Hospital, and to provide data reference for the decrease of average hospitalization days and decisionmaking. Methods Data from the first pages of medical records of inpatients discharged in 2017 were selected from a Women and Children Hospital, and patients staying over 30 days were retrospectively analyzed on the items such as age, gender, discharge department, disease classification, payment method and so on. Results Totally 1 252 patients stayed over 30 days, accounting for 1.69% of all patients. Neonatal patients were the most, accounting for 34.27%. The first three disease categories were neonatal disease, congenital malformations and tumor, accounting for 34.90%, 12.94% and 11.26% respectively. Multivariate logistic regression analysis showed that female, age, transfer during hospitalization, surgery, payment method, discharge way, and classification of diseases had statistical significance to hospitalization over 30 days (P＜0.05). Conclusion Medical management departments should strengthen the management of overlong patients, and shorten average length of stay in hospital, and optimize medical resources.
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Received: 18 October 2018
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