Escolar Castellón F, Sampériz Legarre A L, Pérez Poza A, Expósito Rando A, Merino Muñoz F, Castillo Parra C
Servicio de Medicina Interna, Hospital Reina Sofía, Tudela, Navarra.
An Med Interna. 1993 Jul;10(7):327-32.
More than 50% of all health care expenses are incurred in hospitals, without objectively knowing many times their actual performance. Identification, sex, age, admission channel, date of admission, date of discharge, diagnosis and destination were recorded at discharge for all a local hospital. During those years, 6,410 patients were admitted in such Service (60.18% men and 39.18 women), with an average age of 63 years: 75% of all cases were emergencies, the average length of stay was 3.8 days and the occupation rate, 97.2%. 2.62% patients were referred to another center. The most frequent disease were cardiovascular (24.6%), respiratory (21.6%) and digestive (16.9%). The most frequent nosological entities were: chronic obstructive pulmonary disease (12%), acuter strokes (6.3%), cardiac failure (6.5%), ischemic cardiopathies (6.5%), high digestive hemorrhage (5.6%) and pneumonia (4.3%). The most frequent malignant tumors were those affecting lung, rectum-colon and hematologic. The average mortality rate was 4.3%, mainly due to malignant tumors and acute strokes. Diabetes mellitus and arterial hypertension were the most frequent associated diseases.
超过50%的医疗保健费用产生于医院，很多时候却并不清楚其实际绩效情况。一家当地医院对所有出院患者记录了身份、性别、年龄、入院途径、入院日期、出院日期、诊断结果及去向。在那些年里，该科室收治了6410名患者（男性占60.18%，女性占39.18%），平均年龄为63岁：所有病例中75%为急诊，平均住院时长为3.8天，床位占用率为97.2%。2.62%的患者被转诊至其他中心。最常见的疾病为心血管疾病（24.6%）、呼吸系统疾病（21.6%）和消化系统疾病（16.9%）。最常见的病种为：慢性阻塞性肺疾病（12%）、急性中风（6.3%）、心力衰竭（6.5%）、缺血性心脏病（6.5%）、上消化道大出血（5.6%）和肺炎（4.3%）。最常见的恶性肿瘤是影响肺部、直肠 - 结肠及血液系统的肿瘤。平均死亡率为4.3%，主要原因是恶性肿瘤和急性中风。糖尿病和动脉高血压是最常见的伴发疾病。
