Current status of comorbidity in elderly patients with coronary heart disease and effect of comorbidity on hospitalization costs
10.3760/cma.j.cn115682-20231205-02443
- VernacularTitle:老年冠心病患者的共病现状及共病对其住院费用的影响
- Author:
Chen SHEN
1
;
Xiaolei WEI
;
Qiuchen YUAN
;
Shengmiao MA
;
Zhenhui WANG
;
Hong SUN
;
Tao LIANG
Author Information
1. 中国医学科学院北京协和医学院护理学院，北京 100144
- Keywords:
Coronary heart disease;
Comorbidity;
Hospitalization costs;
Charlson comorbidity index
- From:
Chinese Journal of Modern Nursing
2024;30(10):1318-1324
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To gain a deeper understanding of the comorbidity status of elderly patients with coronary heart disease and the effect of comorbidity on their hospitalization costs.Methods:Using the convenient sampling method, a total of 8 334 elderly hospitalized patients diagnosed with coronary heart disease in Beijing Hospital from January 2018 to December 2021 were selected as the research objects. General Inforamtion Questionnaire and Charson comorbidity index (CCI) were used to investigate the comorbidity of patients.Results:Among the 8 334 elderly patients with coronary heart disease included, 88.18% (7 349/8 334) had comorbidity, and there was a statistically significant difference in hospital costs among patients with different CCI scores ( P<0.01). Elderly patients with coronary heart disease with comorbidity had higher hospital costs. The results of the binomial logistic regression analysis showed that comorbidities increased the hospitalization costs of elderly coronary heart disease patients in both the unadjusted model and the gradually adjusted model for age, gender, occupation, education level, admission department, admission status, admission year, admission mode length of stay and disease classification ( P<0.05) . Conclusions:The comorbidity in elderly patients with coronary heart disease is serious, which is an important factor affecting hospitalization costs. In medical practice, it is necessary to strengthen the comprehensive management of elderly patients with coronary heart disease, pay attention to the influencing factors of hospitalization costs, optimize prevention and treatment strategies, control the occurrence and progression of comorbidities among patients, deepen the reform of medical insurance payment methods such as grouping payments based on disease diagnosis, so as to accurately reduce hospitalization costs and promote the sustainable and healthy development of the medical and health system.
