文章摘要
方杰,谢颖颖,罗爱华,缪萍,叶彤,潘翠环.脑卒中康复患者住院费用结构与功能转归分析[J].中国康复,2012,27(3):177-179
脑卒中康复患者住院费用结构与功能转归分析
Analysis on structure of hospitalizatioin expenditure and functional outcome of stroke patients with rehabilitation
  
DOI:
中文关键词: 脑卒中  住院费用  结构  影响因素
英文关键词: stroke  hospitalizatioin expenditure  structure  influencing factors
基金项目:
作者单位
方杰 广州医学院第二附属医院康复医学科广州 510260 
谢颖颖 广州医学院第一附属医院内科广州 510120 
罗爱华 广州医学院第二附属医院康复医学科广州 510260 
缪萍 广州医学院第二附属医院康复医学科广州 510260 
叶彤 广州医学院第二附属医院康复医学科广州 510260 
潘翠环 广州医学院第二附属医院康复医学科广州 510260 
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中文摘要:
  目的:通过对脑卒中患者各时期住院康复期间费用结构及其影响因素与功能转归情况进行分析比较,研究住院费用结构及其主要影响因素。方法:选取脑卒中住院康复患者237例,按病程分为急性期组(A组)、恢复期组(B组)与后遗症期组(C组),回顾性分析住院费用的影响因素与功能转归情况。结果:脑卒中的住院费用中,A、B、C组药比分别占50.65%、18.84%、17.43%;康复治疗费用比例分别占10.39%、53.39%、57.63%;MBI分值平均提高分别为10.1分、6.4分、5.0分。单因素方差分析显示3组间有7个因素存在显著性差异(P<0.05),进行多元线性逐步分析显示,住院日、药费、治疗费、化验费、检查费和MBI提高值均对住院总费用产生影响。结论:脑卒中后住院康复患者住院费用结构仍然存在药费比重过高问题,控制患者合并症有助于减少住院费用,在脑卒中急性期即开始介入正规的康复治疗有利于提高患者ADL能力,并可改善住院费用结构和减少住院日。
英文摘要:
  Objective: To analyze the structure of hospitalizatioin expenditure and functional outcome of the stroke patients with rehabilitation. Methods: 237 stroke inpatients with rehabilitation were divided into actue group (group A), convalescence group (group B) and sequelae group (group C). The functional outcome and hospitalization expenditure were retrospectively analyzed. Results: To stroke patients, cost ratio for drug treatment in groups A, B and C was respectively 50.65%, 18.84%, and 17.43%. The cost ratio for rehabilitation treatment in groups A, B and C was respectively 10.39%, 53.39%, and 57.63%. The improvement on modified Barthel index (MBI) in groups A, B and C was respectively 10.1, 6.4, and 5.0. There were 7 factors which were significantly different among three groups (P<0.05). The stepwise multiple linear regression results suggested that hospital stay, drugs, rehabilitation costs, chemical test, examination fee and MBI elevation were contributed to the total expenditure. Conclusion: The expense of drug treatment is still excessive high in total expenditure of acute stroke. Controlling the complication and giving rehabilitation treatment in early period will help improve activities of daily living, the structure of hospitalizatioin expenditure and shorten the hospital stay of patients with stroke.
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