文章摘要
华 键,胡志斌,丁海霞,杨文平,占伊扬.帕金森病患者住院费用相关因素分析[J].南京医科大学学报(社会科学版),2018,(4):299~301
帕金森病患者住院费用相关因素分析
Factors for hospitalization costs of Parkinson’s disease
投稿时间:2017-12-30  
DOI:10.7655/NYDXBSS20180411
中文关键词: 帕金森病  住院费用  Holehn?Yahr分级
英文关键词: Parkinson’s disease  hospitalization costs  Holehn & Yahr standard
基金项目:江苏省医疗保险研究会课题“医疗服务价格改革后医保基金运行绩效跟踪研究”(JSYB2016001)
作者单位
华 键 南京医科大学第一附属医院老年神经内科江苏 南京 210029 
胡志斌 南京医科大学公共卫生学院江苏 南京 211166 
丁海霞 南京医科大学第一附属医院老年神经内科江苏 南京 210029 
杨文平 南京医科大学第一附属医院老年神经内科江苏 南京 210029 
占伊扬 南京医科大学第一附属医院老年心血管科江苏 南京 210029 
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中文摘要:
      为分析并探讨帕金森病患者住院费用的影响因素,该研究选取2009年1月至2015年12月在南京医科大学第一附属医院帕金森病住院患者320例,其中接受脑深部电刺激器(DBS)置入手术患者37例,非手术患者283例,根据H&Y(Holehn &Yahr)分级、年龄以及合并感染情况等对住院费用及住院时间进行分析比较。结果发现,非手术组帕金森患者年龄、合并感染情况及H&Y分级与总住院费用及住院时间显著相关。接受DBS手术组患者住院费用较晚期非手术患者显著增高(t=7.40,P<0.001)。高龄、合并感染及帕金森病晚期增加非手术帕金森病患者住院费用和住院时间。
英文摘要:
      This study aimed to investigate the influence factors for the hospitalization costs of Parkinson’s disease (PD). A total of 320 patients with PD at the First Affiliated Hospital of Nanjing Medical University were recruited from January 2009 to December 2015. Thirty?seven patients accepted deep brain stimulation (DBS) operation and 283 patients received non?operative treatment. Patients were categorized to five stages according to Holehn & Yahr (H&Y) standard. The hospitalization costs and length of hospitalization were compared along with different stage of PD, age and concurrent infection. Among the non?operative patients with PD, age, concurrent infection and different H&Y stage were significantly correlated with the hospitalization costs and length of hospitalization. The hospitalization costs were significantly higher in the operation group than that of the non?operative group (t=7.40, P<0.001). The hospitalization costs and length of stay of the nonoperative PD patients relate to the old age, concurrent infection and patient’s stage.
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