髋关节手术中因非临床原因导致的延迟出院:差异特征和机会成本。

Delayed Discharge for Non-Clinical Reasons in Hip Procedures: Differential Characteristics and Opportunity Cost.

机构信息

Cantabria Health Service, Avda. Derechos de la Infancia 31, 39340 Suances, Spain.

Department of Medicine, Faculty of Medicine and Health Sciences, University of Oviedo, Avda. Julián Clavería s/n, 33006 Oviedo, Spain.

出版信息

Int J Environ Res Public Health. 2021 Sep 6;18(17):9407. doi: 10.3390/ijerph18179407.

Abstract

Delayed discharge for non-clinical reasons shares common characteristics with hip procedures. We sought to quantify the length of stay and related costs of hip procedures and compare these with other cases of delayed discharge. A cross-sectional study was conducted at a public hospital in Spain (2007-2015) including 306 patients with 6945 days of total stay and 2178 days of prolonged stay. The mean appropriate stay was 15.58 days, and the mean prolonged stay was 7.12 days. The cost of a prolonged stay was €641,002.09. The opportunity cost according to the value of the hospital complexity unit was €922,997.82. The mean diagnostic-related groups' weight was 3.40. Up to 85.29% of patients resided in an urban area near the hospital ( = 0.001), and 83.33% were referred to a long-stay facility for functional recovery ( = 0.001). The proportion of patients with hip procedures and delayed discharge was lower than previous reports; however, their length of stay was longer. The cost of prolonged stay could account for 21.17% of the total. Compared with the remaining cases of delayed discharge, the appropriate stay was shorter in hip procedures, with a profile of older women living in an urban area close to the hospital and referred to a long-stay center for functional recovery.

摘要

由于非临床原因导致的延迟出院与髋关节手术具有共同特征。我们旨在量化髋关节手术的住院时间和相关费用,并与其他延迟出院的病例进行比较。本研究为西班牙一家公立医院的横断面研究(2007-2015 年),共纳入 306 例患者,共 6945 天的总住院时间和 2178 天的延长住院时间。适当住院时间的平均值为 15.58 天,延长住院时间的平均值为 7.12 天。延长住院时间的费用为 641002.09 欧元。根据医院复杂度单位的价值,机会成本为 922997.82 欧元。平均诊断相关组权重为 3.40。高达 85.29%的患者居住在医院附近的城区(=0.001),83.33%的患者被转介到长期康复设施进行功能恢复(=0.001)。髋关节手术和延迟出院的患者比例低于先前的报告;然而,他们的住院时间更长。延长住院时间的费用可能占总费用的 21.17%。与其他延迟出院的病例相比,髋关节手术的适当住院时间更短,患者特征为年龄较大的女性,居住在医院附近的城区,并被转介到长期康复中心进行功能恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/311e/8431020/823f93a3be5e/ijerph-18-09407-g001.jpg

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