Analysis of hospitalization costs of patients with diabetic foot ulcer and influencing factors
10.3760/cma.j.issn.1000-6672.2014.10.015
- VernacularTitle:570例糖尿病足病患者住院费用及影响因素分析
- Author:
Jing HONG
;
Hong ZHU
;
Wenjun WU
;
Shengjie GE
;
Xiaoyan PAN
;
Xuemei GU
;
Feixia SHEN
- Publication Type:Journal Article
- Keywords:
Diabetes;
Medical cost;
Multifactor analysis
- From:
Chinese Journal of Hospital Administration
2014;(10):755-759
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the hospitalization costs of patients with diabetic foot ulcer and analyze key influencing factors.Methods A total of 570 diabetic foot inpatients were recruited from January 2008 to March 2012 for analysis of the relationship between their hospitalization costs and clinical symptoms.The multifactor regression analysis model was used to identify main influencing factors for their hospitalization costs.Results The medical costs of such inpatients amounted to 1 9 825.6 yuan (12 476.6~32 745.9)yuan,while average hospitalization costs of the 3 401 diabetic patients admitted over the same period were but 9 757.1 yuan (6 282.1 ~ 1 5 723.7 )yuan,a difference of statistic significance.The single-factor analysis found statistical differences from the differences of hospitalization among various age,occupation,dorsal artery of foot,B ultrasound of lower extremity arteries,wagner classification,amputation,transfer,leucocyte,hemoglobin,serum albumin,serum creatinine and high density lipoprotein.Multifactor analysis found that the significant factors influencing the medical costs of inpatients were days of stay,albumin,wagner classification,dorsal artery of foot,leucocyte and age. Conclusion Hypoalbuminemia,high stage of wagner classification,weak or absent pulsation of foot dorsal artery,severe infection and aging were significant factors contributing to higher medical costs of hospitalization for patients with diabetic foot ulcer.