Lim Jihye
Department of Health Care and Science, Dong-A University, Busan, Korea.
Digit Health. 2024 Sep 23;10:20552076241284174. doi: 10.1177/20552076241284174. eCollection 2024 Jan-Dec.
To analyze the characteristics of hospital injured patients and the factors that affect treatment results.
We used the data from the Korea National Hospital Discharge In-depth Injury Survey from 2019 to 2021 of the Korea Disease Control and Prevention Agency (KDCA), 18,037 people who experienced hospital injury accidents were analyzed. In a retrospective cross-sectional study, general characteristics and injury-related characteristics of patients with hospital-acquired injuries were collected. The data were analyzed using chi-square test and logistic regression analysis of complex sampling design. The significance of all statistical analyses was verified at the -value (<0.05) level.
Variables that significantly affected the death of patients with hospital injuries were gender, age, route of admission, type of hospital injury, principal diagnosis, and length of stay ( < 0.05). The risk of death was 3.174 times (95% confidence interval: 2.376-4.238) higher when neoplasm was the principal diagnosis compared to cases with principal diagnosis of other systems.
It is necessary to do patient safety education to help medical personnel be more aware of groups of patients who had a high risk of death from hospital damage, such as male and elderly patients, patients who admitted through the emergency room, and patients whose principal diagnosis was neoplasm, circulatory system, or respiratory system disease.
分析医院受伤患者的特征以及影响治疗结果的因素。
我们使用了韩国疾病控制与预防机构（KDCA）2019年至2021年韩国国家医院出院深度伤害调查的数据，对18037名经历医院伤害事故的人员进行了分析。在一项回顾性横断面研究中，收集了医院获得性伤害患者的一般特征和与伤害相关的特征。使用卡方检验和复杂抽样设计的逻辑回归分析对数据进行分析。所有统计分析的显著性在P值（<0.05）水平上得到验证。
显著影响医院受伤患者死亡的变量有性别、年龄、入院途径、医院伤害类型、主要诊断和住院时间（P<0.05）。与主要诊断为其他系统的病例相比，当主要诊断为肿瘤时，死亡风险高3.174倍（95%置信区间：2.376 - 4.238）。
有必要开展患者安全教育，以帮助医务人员更加关注那些因医院伤害而死亡风险较高的患者群体，如男性和老年患者、通过急诊室入院的患者以及主要诊断为肿瘤、循环系统或呼吸系统疾病的患者。
