A multifactor analysis for hospitalization expense in patients with type 2 diabetes mellitus undergoing non-emergency surgery
10.3760/cma.j.issn.1008-1372.2015.06.015
- VernacularTitle:非急诊手术合并2型糖尿病患者住院费用影响因素分析
- Author:
Zhen ZHANG
;
Weidong ZHOU
;
Linlin YAN
- Publication Type:Journal Article
- Keywords:
Surgical procedures,operative;
Diabetes mellitus,type 2/CO/EC;
Fees and charges;
Inpatients
- From:
Journal of Chinese Physician
2015;17(6):858-861
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the factors of hospitalization expense in patients with type 2 diabetes mellitus undergoing non-emergency surgery.Methods A retrospective study included diabetic (109 cases) and control (162 cases) groups.Hospitalization expense and other observation indices were compared between two groups and subgroups.The factors that contribute to hospitalization expense were analyzed with multifactor regression analysis model.Results The median hospitalization expense was 12 014.74 yuan in the diabetic group,1.24 times than that in the control group (P =0.001).Diabetic group has higher American Society of Anesthesiologists (ASA) classification,longer wound healing time,higher postoperative infection rate,and longer hospital stay (P ＜ 0.01).Multifactor analysis revealed that the significant factors that influence the hospitalization expense were ASA classification (β =0.442,P =0.000),postoperative fasting plasma glucose (β =0.204,P =0.020),and postoperative infection (β =0.204,P =0.019).No significant difference was found in postoperative infection rate and hospitalization expense between two groups,when patients had received minimally invasive surgeries (P ＞ 0.05).Conclusions Type 2 diabetes patients have higher hospitalization expense;ASA classification,postoperative fasting plasma glucose,and postoperative infection are the main influence factors.Giving priority to minimally invasive surgeries and enhancing perioperative glucose control can help to reduce hospitalization expense in patients with type 2 diabetes mellitus.
