An Analysis of Influencing Factors for COPD Patients Re-admission to Hospital in Yunnan Province Based on DRGs

Rui FU; Le CAI

doi:10.12259/j.issn.2095-610X.S20210110

Volume 42 Issue 1

Jan. 2021

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Rui FU, Le CAI. An Analysis of Influencing Factors for COPD Patients Re-admission to Hospital in Yunnan Province Based on DRGs[J]. Journal of Kunming Medical University, 2021, 42(1): 59-63. doi: 10.12259/j.issn.2095-610X.S20210110

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Rui FU, Le CAI. An Analysis of Influencing Factors for COPD Patients Re-admission to Hospital in Yunnan Province Based on DRGs[J]. Journal of Kunming Medical University, 2021, 42(1): 59-63. doi: 10.12259/j.issn.2095-610X.S20210110

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An Analysis of Influencing Factors for COPD Patients Re-admission to Hospital in Yunnan Province Based on DRGs

doi: 10.12259/j.issn.2095-610X.S20210110

Rui FU¹,
Le CAI^{2
,
,}

1.
Medical Record Statistics Room，The 2nd Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650101
2.
School of Public Health，Kunming Medical University，Kunming Yunnan 650500，China

Received Date: 2020-10-19
Available Online: 2021-01-26
Publish Date: 2021-01-26

Abstract

Abstract

Objective The aim of this study is to analyze the factors affecting re-admission to hospitals of the patients with chronic obstructive pulmonary disease（COPD）in Yunnan province based on the diagnosis related groups（DRGs）. Methods Clustering sampling method was used to select COPD patients who were re-admitted to a top three hospital in Yunnan province from 2017 to 2019, and random sampling method was used to choose COPD patients who received the treatment in any hospitals during the same period without re-admission. Results The average age of COPD patients in the re-admission group, the proportion of residents living in kunming, the ratio of 0-10 km away from the hospital, the average relative weight RW and the average length of hospital stay in the re-admission group were all higher than those in the non-readmission group（P < 0.01）, while returning to the group of COPD patients（farmers or the unemployed）, the proportion of patients using ventilator, and the proportion of patients with disease course less than 1 year were significantly higher than those in the re-admission group（P < 0.01）. Multiple linear regression analysis showed that the older the patient, the urban location of residence, the longer the course of illness, the more severe the illness, and the longer the average length of stay, the greater the likelihood of re-admission for COPD patients（P < 0.01）. Conclusion To grade the patients, who is older, having longer duration of living in Kunming city, having longer course, with high Relative Weight, having the breath machine treatment, in the specific DRG groups,having longer average hospitalization time by relevant feedback on the DRGs data platform. The top three hospital should develop targeted treatment and clinical pathway to the patients who are in a critical condition. And for patients who are in better status can get medical care in a closer community hospital. In this way, we can reduce the number of COPD patients who are in admitted to hospital repeatedly, reduce the economic burden of patients reasonably, improve the quality of life.
- Chronic Obstructive Pulmonary Disease,
- Diagnosis Related Groups,
- Influencing factors,
- Re-admission to hospital,
- Yunnan Province

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References(19)

References

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