北京大学学报（医学版）2023，Vol.55Issue(6)：1074-1081,8.DOI:10.19723/j.issn.1671-167X.2023.06.019
2013-2020年北京市慢性阻塞性肺疾病急性加重女性住院患者的流行病学和住院费用分析
Epidemiology and hospitalization costs analysis of female inpatients with acute exacerbation of chronic obstructive pulmonary disease in Beijing from 2013 to 2020
摘要
Abstract
Objective:To study epidemiological characteristics and hospitalization costs of female inpa-tients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)in Beijing.Meth-ods:A retrospective study was conducted to analyze electronic hospitalization summary reports of female inpatients with AECOPD in Beijing from 2013 to 2020.Clinical characteristics(age distribution and co-morbidities),epidemiological characteristics(temporal and spatial distribution characteristics),hospi-talization times and costs of patients were described.Results:A total of 57 911 subjects in 166 hospitals were included in this study,with a mean age of(78.84±8.59)years and the highest number of patients aged 80-89 years(49.06％),followed by patients aged 70-79 years(31.08％),and the lowest number of patients under 50 years(0.41％).The proportions of patients with coronary heart disease,hypertension and heart failure were 30.60％,30.52％and 26.54％respectively.The median number of daily hospitalizations during the study period was 18(IQR:16).The number of daily hospitalizations for AECOPD showed an overall growth trend over the eight years from 2013 to 2020,starting to increase sig-nificantly in 2015 and continuing to increase until 2019,then followed by a decline in 2020.The propor-tion of inpatient admissions was higher in winter and spring(54.09％)than that in summer and autumn(45.91％).The top three districts in terms of the proportion of total inpatient admissions were Xicheng district(14.18％),Chaoyang district(14.12％)and Fengtai district(13.47％).The density of inpa-tients was relatively high in the western regions,central urban areas and northeastern regions of the city,while the density of inpatients was relatively low in the near suburbs.The median number of hospital days for female patients with AECOPD was 12 days,and the median hospital costs was CNY 20 648.37.Pa-tients from urban areas had longer hospitalization times and higher hospitalization costs than those from suburban areas(P＜0.001).Western medicine expenses accounted for the largest proportion of total hospital expenses(33.32％).During the study period,hospitalization costs exhibited an overall pattern of initial growth,followed by subsequent decline,eventually stabilizing.The differences in hospitalization costs among the patients with different comorbidities were significant.Conclusion:Female hospitalized patients with AECOPD in Beijing were older than 70 years,often complicated by cardiovascular disease.AECOPD occurred mainly in winter and spring,with regional differences.The hospitalization costs were closely associated with the patients'age,comorbidities,and the geographicical region.关键词
慢性阻塞性肺疾病急性加重/女性/住院费用/流行病学Key words
Acute exacerbation of chronic obstructive pulmonary disease/Female/Hospitalization costs/Epidemiology分类
医药卫生引用本文复制引用
王子恺,莫佳丽,张蒙,廖纪萍..2013-2020年北京市慢性阻塞性肺疾病急性加重女性住院患者的流行病学和住院费用分析[J].北京大学学报（医学版）,2023,55(6):1074-1081,8.基金项目
北京市卫生健康和科技成果适宜技术推广项目(BHTPP202053)和首都临床特色诊疗技术研究及转化应用项目(Z221100007422040)Supported by Beijing Health Technologies Promotion Program(BHTPP202053),and Beijing Municipal Commission of Science and Technology(Z221100007422040) （BHTPP202053）
