《中国病案》2023年第24卷第2期·37·慢性肾功能不全患者住院费用影响因素分析李妮妮①陆瑾①蒙钟经①曹露露①刘中秋①展冠军②*摘要目的分析某院慢性肾功能不全患者的住院费用构成及其影响因素，为精细化控制医疗费用提供参考。方法回顾性分析2020年1月1日-2021年12月31日某院412例慢性肾功能不全患者病例资料，利用非参数检验、多元线性回归分析对住院费用及其影响因素进行统计分析。结果纳入研究的412病例，平均住院费用为16632.66±6856.05元，住院费用中位数为15570.10(11955.24-20368.11)元，其中药占比最高(34.99%)，其次为治疗费用(25.06%)与诊断费用占比较高(20.22%)。患者住院费用多元回归分析结果显示，影响慢性肾功能不全患者住院费用的显著因素是住院天数、并发症个数及30天是否再入院(F=50.948，P＜0.001，R2=0.422)。结论中西药费占总费用最高，影响住院费用的主要因素是住院天数、并发症个数。合理用药，缩短住院天数，是控制慢性肾功能不全患者住院费用的重要措施。关键词慢性肾功能不全；住院费用；影响因素AnalysisontheInfluencingFactorsofHospitalizationExpensesofPatientswithChronicKidneyDiseaseLiNini,LuJin,MengZhongjing,CaoLulu,LiuZhongqiu,ZhanGuanjun*AbstractObjectivesToanalyzethecompositionandinfluencingfactorsofhospitalizationexpensesofchronickidneydiseasepatientsinahospital,andprovidereferenceforrefinedcontrolofmedicalcost.MethodsThedataof412chronickidneydiseasepatientsinahospitalfromJanuary1st,2020toDecember31st,2021wasretrospectivelyanalyzed,andthehospitalizationexpensesanditsinfluencingfactorswerestatisticallyanalyzedbynon-parametrictestandmultiplelinearregressionanalysis.ResultsAmongthe412casesincludedinthestudy,theaveragehospitalizationcostwas16632.66±6856.05yuan,andthemedianhospitalizationcostwas15570.10(11955.24~20368.11)yuan.Theproportionofmedicineexpenseswasthehighest(34.99%),followedbythetreatmentexpenses(25.06%)anddiagnosisexpenses(20.22%).Multivariateregressionanalysisshowedthatthesignificantfactorsinfluencingthehospitalizationexpensesofpatientswithchronicrenaldiseasewerethelengthofstay,thenumberofcomplicationsandwhethertheywerere-hospitalizedwithin30days(F=50.948,P＜0.001,R2=0.422).ConclusionsThepropor...
