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Statistics of unplanned readmission and the application of SAS |
Wang Qingliang, Zhang Yongyuan, Li Xiangyi, Han Hui |
Qilu Hospital of Shandong University, Jinan 250012, China |
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Abstract Unplanned readmission is closely related to medical quality, and statistical analysis of its data can provide objective support for medical management and clinical decision-making. However, clear statistical connotation and establishment of scientific and standard statistical process are the preconditions for full application of its statistical results. Based on the existing material, the present study firstly sorted out the statistical connotation of unplanned readmission within 31 days of discharge into four aspects and standardized the expressions, and proposed an adjusted statistical method for unplanned readmission rate. Then we used the international authoritative statistical analysis system (SAS 9.4 version) to divide the statistical process into five steps: data import, sorting, cleaning, screening, and statistics. And prxmatch, lag functions and proc sql process step and so on were used to write a SAS statistical program that was logically rigorous, easy to understand, and could be directly used for references. Scientific, standardized and procedural statistics help improve statistical efficiency, ensure the accuracy, precision and comparability of statistical results, and promote data mining and utilization.
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Received: 29 March 2020
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[1]国家医疗质量管理与控制信息网.《年度国家医疗服务与质量安全报告》数据抽样调查[EB/OL].(2022-04-18)[2022-05-01].https://ncisdc.medidata.cn/jsp/para/pm2/pdm.jspPtId=6501.
[2]VAN DER DOES A M B, KNEEPKENS E L, UITVLUGT E B, et al. Preventability of unplanned readmissions within 30 days of discharge. A cross-sectional, single-center study[J]. PLoS One, 2020, 15(4):e0229940. DOI:10.1371/journal.pone.0229940.
[3]ASHTON C M, KUYKENDALL D H, JOHNSON M L, et al. The association between the quality of inpatient care and early readmission[J]. Ann Intern Med, 1995, 122(6):415-421. DOI:10.7326/0003-4819-122-6-199503150-00003.
[4]THOMAS J W, HOLLOWAY J J. Investigating early readmission as an indicator for quality of care studies[J]. Med Care, 1991, 29(4):377-394. DOI:10.1097/00005650-199104000-00006.
[5]卫生部办公厅.三级综合医院医疗质量管理与控制指标:2011版[EB/OL].(2011-01-26)[2022-05-01].http://www.nhc.gov.cn/yzygj/s3585u/201101/38cfafb5c2594801a98d245b9f1442e0.shtml.
[6]JENCKS S F, WILLIAMS M V, COLEMAN E A. Rehospitalizations among patients in the Medicare fee-for-service program[J]. N Engl J Med, 2009, 360(14):1418-1428. DOI:10.1056/NEJMsa0803563.
[7]国家卫生健康委员会.2019年国家医疗服务与质量安全报告[M].北京:科学技术文献出版社,2020.
[8]国家卫生健康委员会.2020年国家医疗服务与质量安全报告[M].北京:科学技术文献出版社,2021.
[9]The Centers for Medicare & Medicaid Services. Hospital Readmissions Reduction Program:HRRP[EB/OL]. (2021-12-01)[2022-05-02]. https://www.cms.gov/Medicare/Medicare Fee-for-Service-Payment/AcuteInpatientPPS/Readmissions-Reduction-Program.
[10]VERNON D, BROWN J E, GRIFFITHS E, et al. Reducing readmission rates through a discharge follow-up service[J]. Future Healthc J, 2019, 6(2):114-117. DOI:10.7861/futurehosp.6-2-114.
[11]RIZWAN S , UMME H A, TABISH C. 30-Day Readmission Rate and its Causes in General Surgical Patients[J]. J Coll Physicians Surg Pak. 2018, 28(4):314-316. DOI:10.29271/jcpsp.2018.04.314.
[12]谷玉婷,翁俊,彭志刚.病案随机抽样的SAS实现[J].中国医院统计,2021,28(4):380-384.DOI:10.3969/j.issn.1006-5253.2021.04.019.
[13]国家卫生健康委. 关于加强卫生健康统计工作的指导意见[EB/OL].(2020-08-27)[2022-05-20]. http://www.gov.cn/zhengce/zhengceku/2020-08/29/content_5538358.htm.
[14]陈美玲,温星来,孙小会,等.基于SQL的非计划再入院患者查询统计[J].中国病案,2020,21(5):36-38.DOI:10.3969/j.issn.1672-2566.2020.05.014. |
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