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目的分析某肿瘤医院一周内不同时间入院对手术患者实际住院天数超过15天的影响,探究患者入院时间对其住院天数的影响。方法利用病案首页系统中2015年出院手术患者16 620例的数据资料,通过Logistic回归模型调整人口学特征,得到1周不同入院时间对患者实际住院天数超过15天的影响。结果相较于周一入院的患者,周二(OR=1.11,95%置信区间:1.01~1.23,P=0.051)、周三(OR=1.10,95%置信区间:1.00~1.22,P=0.051)、周四(OR=1.29,95%置信区间:1.17~1.44,P<0.001)和周五及周六日入院(OR=1.64,95%置信区间:1.48~1.82,P<0.001)的实际住院天数超过15天的风险均增加。结论 1周内不同入院时间对患者实际住院天数有影响。合理的检查和手术时间安排可以缩短住院日,更好的配置医疗资源。
Objective To analyze the impact of hospitalization days on the actual hospitalization days in a tumor hospital at different times of the week for more than 15 days and to investigate the influence of hospitalization days on the days of hospitalization. Methods Using the data of 16 620 cases of 2015 discharged patients in the medical record homepage system, the demographic characteristics were adjusted by Logistic regression model, and the effect of 1-week different admission time on the actual hospitalization days of more than 15 days was obtained. RESULTS: On Tuesday (OR = 1.11, 95% CI: 1.01-1.23, P = 0.051), on Wednesday (OR = 1.10, 95% confidence interval 1.00-1.22, P = 0.051) (OR = 1.29, 95% confidence interval: 1.17-1.44, P <0.001) and hospital admission on Friday and Saturday (OR = 1.64, 95% confidence interval: 1.48-1.82, P <0.001) The risk increased for 15 days. Conclusions Different hospitalization days within 1 week have an impact on the actual days of hospitalization. Reasonable examination and operation schedule can shorten the hospital stay, better allocation of medical resources.