Volume 19 Issue 11
Nov.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(11): 1855-1857
YANG Ling, DU Xue-ping. Analysis on the length of stay of inpatients with acute coronary syndrome in Xicheng District of Beijing[J]. Chinese Journal of General Practice, 2021, 19(11): 1855-1857. doi: 10.16766/j.cnki.issn.1674-4152.002184
Citation: YANG Ling, DU Xue-ping. Analysis on the length of stay of inpatients with acute coronary syndrome in Xicheng District of Beijing[J]. Chinese Journal of General Practice, 2021, 19(11): 1855-1857. doi: 10.16766/j.cnki.issn.1674-4152.002184
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Analysis on the length of stay of inpatients with acute coronary syndrome in Xicheng District of Beijing

doi: 10.16766/j.cnki.issn.1674-4152.002184

  • Yuetan Community Health Service Center Fu Xing Hospital, Capital Medical University, Beijing 100045, China

Funds:

 首发2018-3-7023

  • Received Date: 2020-02-02
    Available Online: 2022-02-15
    Abstract
  •   Objective  To analyse the distribution characteristics in different populations, change tendency and influencing factors of length of stay (LOS) of patients with acute coronary syndrome (ACS) in Xicheng District, Beijing.  Methods  Cluster sampling was carried out. A total of 31 448 ACS inpatients were screened in Beijing Municipal Health Information Center by searching the medical records of Xicheng District, Beijing between 2012.1.1 and 2016.12.31, and then all sub-items under the six major items "I20.--; I21.--; I22.--; I23.--; I24.--; I25.--" were searched according to the International Classification of Diseases (ICD)-10 codes including the keywords "coronary atherosclerosis heart disease", "angina" and "myocardial infarction", after sorting out the household address, rereporting cases screening and reviewing the data integrity and accuracy. SPSS 25 software was used to analyse the data. Measurement data were represented by M (P25, P75). Counting data were statistically described by the actual number and percentage (%), and multivariate logistic analysis was used to analyse the influencing factors of LOS.  Results  The median LOS of ACS patients was 8 days, which increased with age. The median LOS in non-tertiary hospitals was 12 days, whilst that in tertiary hospitals was 8 days. The LOS of 59.09% (13 710/23 202) of patients with unstable angina (UA), 72.88% (2 819/3 868) of patients with non-ST-elevation myocardial infarction and 77.09% (3 375/4 378) of patients with ST-elevation myocardial infarction were < 10, < 14 and < 14 days, respectively. According to multivariate logistic analysis, hospital level, hospitalisation frequency, age, ACS diagnostic classification, cost category, interventional diagnosis and treatment, emergency admission, gender and hospitalisation cost were the factors that affected the LOS (all P < 0.001).  Conclusion  There are still some ACS patients whose LOS exceeds the standard recommended by the clinical pathway, especially UA patients. The average LOS in non-tertiary hospitals is greater than that in tertiary hospitals. Primary and secondary hospitals need to further standardise and improve the diagnosis and treatment technology of ACS. Meanwhile, secondary prevention/cardiac rehabilitation of coronary heart disease should be carried out to reduce repeated hospitalisation, which is conducive to shortening the LOS.

     

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