摘要
目的探讨某院肾移植患者的临床特征和费用特征,为肾移植患者相关疾病的防治管理和费用管理提供依据。方法选取2022年1月1日-2023年12月31日某院1186例肾移植患者作为研究样本,通过住院病案首页收集患者的一般信息和疾病相关信息,对其临床特征分布和费用情况进行分析。结果1186例肾移植患者中,男性849例占71.6%,女性337例占28.4%;平均年龄36.07岁,21岁~50岁患者占比最高,达84.0%;医嘱离院患者1178例占99.2%;平均住院天数15.82天。疾病诊断以慢性肾小球肾炎、糖尿病肾病、多囊肾为主;19.6%的患者有基础疾病,以病毒性肝炎、糖尿病、高血压等慢性病为主;18.1%的患者存在术后并发症,以感染和移植肾功能不全为主;肾移植患者平均住院费用为28.28万元,耗材费、药品费和诊断费为费用占比前3位。术后并发症是影响肾移植患者住院费用的主要因素。结论青壮年男性人群肾移植占比高,慢性肾小球肾炎、糖尿病肾病为主要原因,术后并发症是住院费用高的主要影响因素。应加强青壮年人群肾功能的筛查,提高糖尿病患者定期筛查并发症的意识,倡导健康的生活方式,完善肾移植术后的监测和管理。
Objectives To analyze the distribution characteristics and cost features of renal transplant patients in a hospital,and provide a foundation for the management,prevention and cost control of renal transplant related diseases.Methods To select 1186 renal transplant patients hospitalized in a hospital from January 1st,2022,to December 31st,2023,and collect their general and disease-related information through the front page of medical record.The clinical characteristics and costs of the patients were analyzed.Results Among the 1186 renal transplant patients,849(71.6%)were male and 337(28.4%)were female,with an average age of 36.07 years.The largest proportion of patients(84.0%)was aged between 21-50 years old.Among them,1,178(99.2%)were discharged from the hospital after being medically treated for an average of 15.82 days.The main disease diagnosis included chronic glomerulonephritis,diabetic nephropathy,and polycystic kidney.19.5%of patients had underlying diseases,with viral hepatitis,diabetes mellitus,hypertension,and other chronic diseases being the main ones.Additionally,18.2%of the patients suffered from postoperative complications,with infections and grafted renal insufficiency as the main ones.The average hospitalization cost for renal transplant patients was 282,800 RMB,and the three major cost components were consumables,drugs,and diagnostics.Post-operative complications were identified as the main factor affecting the hospitalization cost of renal transplant patients.Conclusions Improving screening methods for chronic kidney diseases in young adults,promoting a healthy lifestyle,and enhancing postoperative monitoring and management could help reduce the economic burden on renal transplant patients.
作者
胡颖辉
闫学丽
孔德莹
李汶嘉
左煌
Hu Yinghui;Yan Xueli;Kong Deying;Li Wenjia;Zuo Huang(Office of Medical Infonnation Management,The First Afliated Hospital of Xi'an Jiaotong University,Xi'an 710000,Shanxi Province,China;不详)
出处
《中国病案》
2024年第12期43-46,共4页
Chinese Medical Record
基金
陕西省自然科学基金青年项目(2022JQ-750)。
关键词
肾移植
住院患者
临床特征
费用分析
Kidney transplantation
Hospitalized patients
Clinical characteristics
Cost analysis
