艾滋病患者的住院治疗：所有住院天数都有必要吗？

Hospital utilization for AIDS: are all hospital days necessary?

作者信息

Sharp J W, Coleman E, Starling N, Cline J, Rehm S J

机构信息

Social Work Department, Cleveland Clinic Foundation, OH 44195-5195.

出版信息

QRB Qual Rev Bull. 1991 Apr;17(4):113-9. doi: 10.1016/s0097-5990(16)30438-9.

DOI:10.1016/s0097-5990(16)30438-9

PMID:1852432

Abstract

This study examined hospital utilization and, specifically, unnecessary hospital days for patients with acquired immunodeficiency syndrome (AIDS) in a Midwest regional referral center as of June 1987. In 1990 a follow-up study was conducted to measure changes in length of stay (LOS) and unnecessary days. Results show a mean LOS consistent with other studies and a pattern of unnecessary days comprising 14% to 18% respectively of the mean LOS. Admissions in which the patient died and those considered outliers (LOS greater than 36 days) had a trend toward a higher percentage of unnecessary days. Hospital utilization and unnecessary days for patients with AIDS should be an ongoing quality indicator for hospitals experiencing a high volume of persons with AIDS admissions.

摘要

本研究调查了截至1987年6月在中西部地区转诊中心的获得性免疫缺陷综合征（AIDS）患者的医院利用率，特别是不必要的住院天数。1990年进行了一项随访研究，以衡量住院时间（LOS）和不必要天数的变化。结果显示平均住院时间与其他研究一致，不必要天数模式分别占平均住院时间的14%至18%。患者死亡的入院病例和被视为异常值（住院时间大于36天）的病例，其不必要天数的百分比有升高趋势。对于艾滋病患者数量较多的医院，艾滋病患者的医院利用率和不必要天数应作为一个持续的质量指标。