Department of Healthcare Management, Youngsan University, Yangsan 50510, Korea.
Int J Environ Res Public Health. 2020 Jul 9;17(14):4949. doi: 10.3390/ijerph17144949.
It is important that length of stay (LOS) management for alleviating health care financial burdens and improving patient outcomes. The aim of this study was to report the differences of LOS and the factors affecting LOS of hip fracture patients using big data. A total of 463,194 data were collected from 2016 to 2017 KNHDS. Of those, 2238 patients with the hip fracture primary diagnosis were included in the study population. As independent variables were used gender, age, type of insurance, admission route, result of treatment, number of hospital beds, the presence of surgery, and comorbidities. Statistical analysis performed using the IBM SPSS Statistics for Windows, version 25.0. A statistically significant difference was observed in the length of stay of hip fracture patients according to the healthcare insurance type. The difference in LOS associated with comorbidities was statistically significant for hypertension, peptic ulcer disease, coagulopathy, and alcohol abuse ( < 0.05). Independent variables that affected LOS of hip fracture patients with national health insurance were the treatment result, operation presence, comorbidity count, and hospital beds ( < 0.001). The factors associated with the length of stay for hip fracture patients were the difference according to the healthcare insurance type. The results of this study can be used as a basic data for the national health policy for the proper distribution and utilization of medical resources.
本研究旨在利用大数据报告髋部骨折患者住院日（LOS）的差异和影响 LOS 的因素。从 2016 年至 2017 年 KNHDS 中收集了总计 463,194 份数据。在研究人群中，包括了 2238 例髋部骨折的主要诊断患者。性别、年龄、保险类型、入院途径、治疗结果、医院床位数量、手术情况和合并症作为自变量。使用 IBM SPSS Statistics for Windows，版本 25.0 进行统计分析。根据医疗保健保险类型，髋部骨折患者的住院日存在统计学显著差异。与高血压、消化性溃疡病、凝血障碍和酗酒相关的 LOS 差异具有统计学意义（<0.05）。影响具有国民健康保险的髋部骨折患者 LOS 的独立变量是治疗结果、手术存在、合并症计数和医院床位（<0.001）。与髋部骨折患者住院日相关的因素是医疗保健保险类型的差异。本研究的结果可作为国家卫生政策的基本数据，用于医疗资源的合理分配和利用。
