[1]张 晋,王 伟.基于DRG的股骨颈骨折治疗临床路径优化效果观察[J].医学信息,2024,37(13):56-59.[doi:10.3969/j.issn.1006-1959.2024.13.011]
　Observation on the Optimization Effect of Clinical Pathway for Femoral Neck Fracture Treatment Based on DRG.Observation on the Optimization Effect of Clinical Pathway for Femoral Neck Fracture Treatment Based on DRG[J].Journal of Medical Information,2024,37(13):56-59.[doi:10.3969/j.issn.1006-1959.2024.13.011]
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基于DRG的股骨颈骨折治疗临床路径优化效果观察()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年13期
页码:
56-59
栏目:
卫生管理信息学
出版日期:
2024-07-01

文章信息/Info

Title:
Observation on the Optimization Effect of Clinical Pathway for Femoral Neck Fracture Treatment Based on DRG
文章编号:
1006-1959（2024）13-0056-04
作者:
张 晋; 王 伟
（浙江中医药大学附属第一医院/浙江省中医院计算机中心，浙江 杭州 310018）
Author(s):
Observation on the Optimization Effect of Clinical Pathway for Femoral Neck Fracture Treatment Based on DRG
(Computer Center of the First Affiliated Hospital of Zhejiang Chinese Medical University/Zhejiang Provincial Hospitalof Traditional Chinese Medicine,Hangzhou 310018,Zhejiang,China)
关键词:
疾病诊断相关分组; 股骨颈骨折; 临床路径; 住院时间; 医疗花费
Keywords:
Diagnosis related groups; Femoral neck fracture; Clinical pathway; Hospitalization time; Medical expenses
分类号:
R197
DOI:
10.3969/j.issn.1006-1959.2024.13.011
文献标志码:
A
摘要:
目的 探讨基于疾病诊断相关分组（DRG）的股骨颈骨折治疗临床路径优化效果。方法 选择我院2019年3月-2021年9月收治的187例股骨颈骨折患者作为优化前组，2022年1月-2023年4月收治的162例股骨颈骨折患者作为优化后组。优化前组患者采用常规临床路径，优化后组采用基于DRG进行优化后的临床路径，比较优化前组和优化后组的尿潴留重新安置率、尿管拔除时间、术后排便时间、功能锻炼开始时间、住院时间和住院花费。结果 优化后组尿潴留重新安置率低于优化前组，尿管拔除时间、术后排便时间及功能锻炼开始时间均短于优化前组，差异有统计学意义（P＜0.05）。优化后组住院时间短于优化前组，净住院费与总医疗花费低于优化前组，差异有统计学意义（P＜0.05）。结论 基于DRG进行股骨颈骨折治疗临床路径的优化可减少术后并发症，缩短住院时间，减少医疗花费。
Abstract:
Objective To explore the optimization effect of clinical pathway for femoral neck fracture treatment based on diagnosis related group (DRG).Methods A total of 187 patients with femoral neck fracture admitted to our hospital from March 2019 to September 2021 were selected as the pre-optimization group, and 162 patients with femoral neck fracture admitted from January 2022 to April 2023 were selected as the post-optimization group. The patients in the pre-optimization group were treated with routine clinical pathway, and the patients in the post-optimization group were treated with optimized clinical pathway based on DRG. The resettlement rate of urinary retention, catheter removal time, postoperative defecation time, functional exercise start time, hospitalization time and hospitalization cost were compared between the pre-optimization group and the post-optimization group.Results The resettlement rate of urinary retention in the post-optimization group was lower than that in the pre-optimization group, and the catheter removal time, postoperative defecation time and functional exercise start time were shorter than those in the pre-optimization group, the differences were statistically significant (P<0.05). The hospitalization time of the post-optimization group was shorter than that of the pre-optimization group, and the net hospitalization cost and total medical cost were lower than those of the pre-optimization group, the differences were statistically significant (P<0.05).Conclusion The optimization of clinical pathway for the treatment of femoral neck fracture based on DRG can reduce postoperative complications, shorten hospitalization time and reduce medical expenses.

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更新日期/Last Update: 1900-01-01