| 摘要: |
| ?????? 目的 测算酒精性肝硬化理论住院日，探究其影响因素，为制定临床路径提供依据。方法 收集418位患者资料，用住院日适当性评价方案对患者9 694个住院日进行逐一分析，测算酒精性肝硬化的理论住院日，然后用SPSS 20.0对不适当住院日进行单因素和多因素分析。结果 16.6%的住院日是不恰当的，等待检查报告和等待手术导致的不适当住院日占76.09%；术前等待日和肝功能Child-Pugh分级是影响不适当住院日的两大因素。结论 不适当住院日处于中间水平，应加强各科室之间的沟通协调，在医技科室和网络上加强管理是关键。 |
| 关键词: 酒精性肝硬化 住院日适当性评价 多因素分析 |
| DOI： |
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| 基金项目: |
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| Study of Inappropriate LOS of Patients with Alcoholic Liver Cirrhosis |
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| Abstract: |
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????? Objective
To estimate theoretical length of stay with alcoholic liver cirrhosis and explore the influencing factors, and to provide the basis for the development of the Clinical Pathway. Methods 418 patients were collected, and 9 694 LOS were analyzed individually to estimate inappropriate LOS, then SPSS 20.0 were used to analyze influencing factors by unvaried and multivariate analysis. Results 16.6% LOS was inappropriate, waiting for examination reports and surgeries accounted for 76.09%; waiting day before surgery and Child-Pugh were two main factors. Conclusion Inappropriate LOS was in an intermediate level. Communication and coordination between various departments should be strengthened, and the keys were medico-technical departments and network. |
| Key words: alcoholic liver cirrhosis, stay of length appropriateness evaluation, multivariate analysis |
