Lagoe R J
Neurology. 1987 Jan;37(1):139-45. doi: 10.1212/wnl.37.1.139.
We analyzed differences in hospital stays by diagnosis related group for neurologic patients treated medically in Sacramento, CA, and Syracuse, NY, between 1981 and 1984. Differences between stays were highest for DRGs with large proportions of elderly discharges, especially those with cerebrovascular disorders. Length of stay variability was also higher for DRGs with large proportions of elderly. These results suggest that extended hospital stays for neurology patients result from approaches to patient management, rather than demographic patterns, availability of hospital or long-term care beds, or the extent of health maintenance organization activity.
我们分析了1981年至1984年间在加利福尼亚州萨克拉门托市和纽约州锡拉丘兹市接受内科治疗的神经系统疾病患者按诊断相关分组的住院时间差异。对于老年出院患者比例较大的诊断相关分组，住院时间差异最大，尤其是那些患有脑血管疾病的分组。老年患者比例较大的诊断相关分组的住院时间变异性也更高。这些结果表明，神经科患者住院时间延长是由患者管理方式导致的，而非人口模式、医院或长期护理床位的可获得性，或健康维护组织活动的程度。
