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| Influencing factors of super long hospitalization days in an infectious disease hospital |
| Zhang Haidong, Li Yumei, Wu Junxia |
| Department of General Statistics, Third Affitiated Hospital of Nantong University, Nantong 226000, China |
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Abstract Objective To analyze the distribution characteristics and influencing factors of patients with extralong hospitalization days in a tertiary infectious disease hospital in Nantong City, Jiangsu Province, and to explore measures to reduce the average hospital stay. Methods According to the disease classification ICD10 (A00-B99, J00-J99, K00-K93, Z00-Z99), the first page information of medical records of discharged patients in 2019 was collected, and logistic regression was performed on the relevant factors of patients who were hospitalized for more than 30 days. Results Among the 5 928 discharged patients, 878 were hospitalized for more than 30 days, accounting for 14.81% of all discharged patients in the infectious disease area. Among them, the proportion of male patients (67.43%) was higher than that of female patients (32.57%). Logistic regression analysis showed that age, disease classification, comorbidities, surgical operation, the difficult and critically ill, and antibiotic use were influencing factors for extremely long hospital days(P<0.05). Conclusion The hospital management department should focus on the management and monitoring of factors that affect the length of hospital stay in the infectious disease area, and establish standardized treatment plans according to disease types, improve medical standards, optimize medical resources, shorten the number of hospital stays, and achieve a winwin situation for patients and hospitals.
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Received: 14 July 2021
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