Original Article
Analysis of disease characteristics and hospitalization burden of elderly patients with cerebrovascular disease based on home page of medical records
Zhang Haibo, Xie Jiadong, He Jiayi, Li Si, Zhang Lei, Chen Yan, Shen Junlong, Zhao Yufeng, Zhao Jun
Published 2023-05-14
Cite as Chin J Geriatr, 2023, 42(5): 519-524. DOI: 10.3760/cma.j.issn.0254-9026.2023.05.006
Abstract
ObjectiveTo analyze the disease characteristics and hospitalization burden of elderly inpatients with cerebrovascular disease, so as to provide basis for disease prevention, diagnosis, treatment and rehabilitation of elderly patients with multiple chronic conditions.
MethodsThe data of the first page of medical records of elderly inpatients with cerebrovascular disease from 2015 to 2020 in a comprehensive tertiary hospital in Jiangsu Province were retrospectively collected.Descriptive analysis, variance analysis and multiple linear regression analysis were carried out for the research objects using SPSS statistics and Python complex network methods.
ResultsA total of 14 657 elderly inpatients with cerebrovascular disease were included.From 2015 to 2020, the number of hospitalizations increased from 1 268 to 4 733, the average number of hospitalizations increased from 2.0 to 2.9, the average length of stay decreased from 11.9 days to 9.1 days, and the average number of illnesses increased from 1.9 to 4.9.The five most common comorbidities associated with cerebrovascular diseases were hypertension, diabetes, ischemic heart disease, other types of heart disease and other respiratory diseases.From 2015 to 2020, the average hospitalization costs of elderly cerebrovascular inpatients decreased from 20588.1 Chinese yuan(CYN)to 15580.9 Chinese yuan(CYN). The hospitalization cost was mainly composed of drug cost(46.6%), diagnosis cost(28.2%)and treatment cost(20.2%). There were significant differences in the average hospitalization expenses among patients with different gender, age, number of admissions, length of stay and number of diseases(P<0.05 for all). Gender, age, number of hospitalizations and length of stay had an impact on hospitalization expenses.
ConclusionsThe number of inpatients, comorbidities, and hospitalized times of elderly patients with cerebrovascular disease showed an increasing trend, while the number of hospitalization days and the average hospitalization cost showed a downward trend.Comorbidities associated with cerebrovascular diseases should be one of the concerns of chronic disease management in the elderly.
Key words:
Medical record; Cerebrovascular disease; Disease characteristics; Hospitalization burden
Contributor Information
Zhang Haibo
The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029
Xie Jiadong
School of Artificial Intelligence and Information Technology, Nanjing University of Chinese Medicine, Nanjing 210023
He Jiayi
School of Artificial Intelligence and Information Technology, Nanjing University of Chinese Medicine, Nanjing 210023
Li Si
The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029
Zhang Lei
School of Public Administration, Hohai University, Nanjing 211100
Chen Yan
The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029
Shen Junlong
School of Health Economies and Management, Nanjing University of Chinese Medicine, Nanjing 210023
Zhao Yufeng
Data Center, China Academy of Chinese Medical Sciences, Beijing 100700, China
Zhao Jun
The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029
