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乙型肝炎肝硬化患者15天非计划再入院的影响因素
作者:冯鑫 1 2   吴国安 3   程澄 4   范颖 4   张婷 4   闫杰 4   毛羽 2 5   欧蔚妮 6  
单位:1.首都医科大学附属北京地坛医院 科教处 北京 100015 2.首都医科大学卫生管理与教育学院 北京 100069 3.首都医科大学附属北京地坛医院 院长办公室 北京 100015 4.首都医科大学附属北京地坛医院 肝病一科 北京 100015 5.北京市卫生和计划生育委员会 北京 100053 6.首都医科大学附属北京地坛医院 肝病三科 北京 100015 
关键词:肝硬化 乙型肝炎 非计划再入院 影响因素 
分类号:
出版年,卷(期):页码:2017,9(3):50-53
摘要:

摘要:目的 以传染病专科医院的主要住院病种乙型肝炎肝硬化为研究对象,评价该疾病的再入院率
是否可作为评估传染病专科医院医疗质量的一项指标,并探寻影响乙型肝炎肝硬化患者再入院的相关
因素。方法 收集首都医科大学附属北京地坛医院肝病中心2010年至2014年因乙型肝炎肝硬化住院的
全部病例为研究对象,测算15天非计划再入院率,按照1∶2的比例选取未再入院患者为对照组,采
用Logistic回归分析寻找乙型肝炎肝硬化患者15天非计划再入院的影响因素。结果 因“乙型肝炎肝硬
化”住院的全部病例共1352人次,其中符合15天非计划再入院114人次,15天非计划再入院率为8.43%
(114/1352)。Logistic回归分析显示再入院影响因素为年龄[95%CI为(1.012,1.038),P = 0.035]与
腹水复发[95% CI为(3.325,5.873),P < 0.001]。结论 高龄和腹水复发是乙型肝炎肝硬化患者15天
非计划再入院率显著升高的影响因素。

Abstract: Objective To investigate if the readmission rate of hepatitis B cirrhosis which was the main
hospitalization of infectious diseases hospital could be one of the evaluation indicators of the medical quality
and to explore the factors affecting the readmission of cirrhosis patients with hepatitis B. Methods All of the
inpatient cases due to hepatitis B cirrhosis were collected from 2010 to 2014 in the Liver Disease Center of
Beijing Ditan Hospital, Capital Medical University. The 15-day unplanned readmission rate was calculated.
The control group were randomly selected according to 1∶2 ratio. Logistic regression analysis was
performed to analyze the influencing factors of unplanned hospitalization in cirrhosis patients with hepatitis B.
Results Of all the 1352 cases of hepatitis B cirrhosis, the number of unplanned readmission was 114, and the
15-day unplanned readmission rate was 8.43%. Logistic regression analysis showed that age [95%CI: (1.012,
1.038), P = 0.035] and ascites recurrence [95%CI: (3.325, 5.873), P < 0.001] were the factors affecting
the readmission of cirrhosis patients with hepatitis B. Conclusion Elderly and ascites recurrence were
significantly associated with 15 days of unplanned readmission in cirrhosis patients with hepatitis B.

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