输血量对患者住院时间及费用和结局的影响

发布时间：2018-05-12 18:05

本文选题：住院时间 + 费用　；参考：《中国输血杂志》2017年07期

【摘要】：目的分析输血量对患者住院时间、费用及出院前结局的影响,为推行患者血液管理奠定基础。方法收集本院2016年住院期间进行输血治疗患者数据资料,回顾性分析输血量对住院时间、住院费用及出院前结局的影响。结果不同输血量患者之间的住院总天数、住院费用及扣除术前待床日住院天数(住院天数)差异有统计学意义(P0.01),总输血量与住院总天数、住院费用、住院天数存在正相关,相关系数分别为0.317、0.497、0.290(P0.01);与红细胞制剂输注量相比,血浆类制剂输注量与住院总天数、住院费用、住院天数的相关性更强(P0.05);死亡病例的输血总量显著高于好转出院病例输血总量(P0.01),其血浆和冷沉淀的输注量也显著高于好转出院病例(P0.01)。结论输血对住院时间、住院费用及患者结局有影响,血浆类制剂的输注影响更大。
[Abstract]:Objective to analyze the effect of blood transfusion volume on hospitalization time, cost and outcome before discharge, so as to lay a foundation for carrying out blood management. Methods data of patients undergoing blood transfusion during hospitalization in 2016 were collected and the effects of blood transfusion volume on hospitalization time, hospitalization cost and outcome before discharge were analyzed retrospectively. Results there were significant differences in total hospitalization days, hospitalization expenses and hospitalization days (hospitalization days) between patients with different blood transfusion volumes. There was a positive correlation between total blood transfusion volume and total hospitalization days, hospital expenses and hospitalization days. The correlation coefficients were 0.317m 0.497U 0.290m P0.01C, compared with erythrocyte preparation infusion, plasma preparation infusion quantity and total hospitalization days, hospitalization expenses, and the correlation coefficient were 0.317m 0.497U 0.290g P0.01g, respectively. The total blood transfusion in the dead cases was significantly higher than that in the improved discharge cases (P 0.01), and the infusion of plasma and cryoprecipitation was significantly higher than that of the improved discharge cases (P 0.01). Conclusion Blood transfusion has an important effect on hospitalization time, hospitalization cost and outcome of patients.
【作者单位】：上海交通大学附属第一人民医院输血科;上海交通大学附属第一人民医院健康体检科;上海交通大学附属第一人民医院信息科;
【分类号】：R457.1

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