Influencing Factors of Hospitalization Costs in Adult Patients with Bronchiectasis

Y. Lei, Lineng Zhou, Yanli Yang, Tinglong Li
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Abstract

Objective: To explore Influencing factors of hospitalization costs in adult patients with bronchiectasis. Methods: The data were collected from public hospitals in China between May 2016 and December 2019, the information collected includes the following: total hospitalization cost, age, sex, blood routine, length of stay, and complications. Result: A total of 462 effective cases were collected in this study, including 234 males (50.65%) and 228 females (49.35%). In hospitalization costs, single total hospitalization cost is 13610.87 yuan per capita, among them the quartile is 7453.50 yuan, the median is 9893.51 yuan, upper quartile is 14153.62 yuan. Base on the proportion of hospitalization costs in adult patients with bronchiectasis, the drug cost was the highest (40.53%), the test cost was the second (20.59), and the nursing cost was the lowest (2.59%). In results of univariate analysis of cases with different characteristics, chronic obstructive pulmonary disease (COPD), smoking history, age, duration of hospitalization, and the percentage of neutrophils were statistical significance (p < 0.05). independent factors. Conclusion: independent factors of hospitalization costs in adult patients with bronchiectasis included hospitalization duration, smoking history, COPD, and high neutrophil percentage. Therefore, medical staffs should control and avoid those factors in treatment of adult patients with bronchiectasis.
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成人支气管扩张患者住院费用的影响因素分析
目的:探讨成人支气管扩张患者住院费用的影响因素。方法:收集2016年5月至2019年12月全国公立医院住院患者的数据,收集的信息包括:住院总费用、年龄、性别、血常规、住院时间、并发症。结果:共收集有效病例462例,其中男性234例(50.65%),女性228例(49.35%)。住院费用方面,人均单次总住院费用为13610.87元,其中四分位数为7453.50元,中位数为9893.51元,上四分位数为14153.62元。从成人支气管扩张患者住院费用占比来看,药品费用最高(40.53%),检查费用次之(20.59%),护理费用最低(2.59%)。在不同特征病例的单因素分析结果中,慢性阻塞性肺疾病(COPD)、吸烟史、年龄、住院时间、中性粒细胞百分比差异均有统计学意义(p < 0.05)。独立的因素。结论:成人支气管扩张患者住院费用的独立因素包括住院时间、吸烟史、慢性阻塞性肺病和高中性粒细胞百分比。因此,医务人员在治疗成人支气管扩张患者时应控制和避免这些因素。
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