摘要
目的分析本院近3年急性心肌梗死住院病例的医疗质量监测指标。方法回顾性分析2018年1月—2020年12月本院收治的476例急性心肌梗死住院患者的病例资料,并统计其医疗质量监测指标(性别、年龄、住院时间、平均住院费用、再入院、预后以及执行情况等)进行分析。结果急性心肌梗死住院患者中以71-80岁人数分布较多,均高出其他年龄段(P<0.05)。急性心肌梗死住院患者中71-80岁、>80岁男性高出女性(P<0.05)。所有患者中>80岁、71-80岁患者住院时间高出其他年龄段患者(P<0.05),≤40岁稍高于41-50岁、51-60岁、61-70岁,但差异无统计学意义(P>0.05)。2020年治疗操作费、药费、护理费较2018和2019年明显降低,但检验费、手术费均有所升高(P<0.05)。2018年再住院率高出2019和2020年(P<0.05)。2018年病死率高出2019和2020年(P<0.05)。2020年入院90分钟之内开展PCI、绕行CCU、初次医疗接触时长至双联抗血小板治疗时长≤10分钟、入院24小时之内强化他汀治疗的执行率均高出2018和2019年(P<0.05)。结论本院近3年急性心肌梗死多发生于老年男性,但应关注逐渐年轻化发病的趋势,同时应加强疾病耗材费用的管理,不断改良患者医疗质量,保障其预后,同时降低其经济负担。
Objective To analyze the medical quality monitoring indexes for acute myocardial infarction inpatients in recent three years.Methods Clinical data of 476 patients those were admitted to our hospital due to acute myocardial infarction(2018.01-2020.12)wereanalyzed retrospectively.The medical quality monitoring indexes such as gender,age,hospital stays,mean hospitalization costs,re-admission rates,treatment prognosis and executive condition were counted and analyzed.Results The number of patients suffered with acute myocardial infarction aged 71-80 was higher than the other age group(P<0.05).In the age groups of 71-80 and over 80 the proportion of male cases was higher than that of female cases(P<0.05).The hospital stay of the age groups of over 80 and 71-80 were longer than the other age groups(P<0.05),the hospital stay of the age group of younger or equal to 40 was a bit longer than the age groups of 41-50,51-60 and 61-70,however,the differences were not statistically significant(P>0.05).The treatment operating costs,medicine expenses and nursing expenses in 2020 were remarkably declined by comparison with those in 2018 and 2019,but the examination and operation costs were increased(P<0.05);the re-admission rates in 2018 were higher than those in 2019 and 2020(P<0.05).The case fatality rate in 2018 was higher than that in 2019 and 2020(P<0.05).In 2020,the implementation rates of apply PCI within 90min after admission,bypass CCU,initial medical contact time to dual anti-platelet treatment time less than or equal to 10 min and intensive statin treatment within 24h after admission were higher than those in 2018 and 2019(P<0.05).Conclusions In recent three years,the elderly males are prone to have acute myocardial infarction,however,the younger people shall also be concerned.Meanwhile,the management of medical supply costs and the improvement of medical quality should be strengthened to ensure the patient's treatment prognosis and reduce the economical burdens.
作者
郑景文
Zheng Jingwen(Medical records room,Nongken central hospital of Guangdong province,Zhanjiang,Guangdong,524002,China)
出处
《齐齐哈尔医学院学报》
2022年第21期2054-2057,共4页
Journal of Qiqihar Medical University
关键词
医疗质量
急性心肌梗死
住院病例
监测指标
Medical quality
Acute myocardial infarction
Inpatients
Monitoring indexes
