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目的分析深圳市伤害住院患者的伤害谱特征及住院费用,为制定伤害防制策略提供科学依据。方法对2006-2009年深圳市医院伤害监测系统31 765例伤害住院患者人群特征和住院费用进行描述性分析,并对影响住院费用的因素进行多因素线性回归分析。结果 2006-2009年深圳市伤害住院患者以18~39岁青年为主(61.73%),患者年龄中值30岁;男女病例数之比为3.27∶1;伤害发生部位多见于“肩及上肢损伤”(33.43%);伤害性质以“骨折”居多(31.46%);伤害患者住院人均费用和日均费用分别为4 888元和528.6元,累计上涨幅度分别为42.12%和38.82%;药费所占比例最高(34.80%);影响日均住院费用的主要因素是就诊医院级别、入院情况、住院时间、年龄、付费方式和伤害发生部位。结论伤害是深圳市居民主要疾病负担之一,应积极采取有效的干预措施。
Objective To analyze the injury spectrum characteristics and hospitalization costs of inpatients with injuries in Shenzhen and provide a scientific basis for the establishment of injury prevention and control strategies. Methods Descriptive analysis of the population characteristics and hospitalization costs of 31 765 injured hospitalized patients in Shenzhen hospital injury monitoring system from 2006 to 2009 was carried out. Multivariate linear regression analysis was conducted on the factors influencing hospitalization costs. Results In 2006-2009, the majority of young people aged 18-39 years (61.73%) were hospitalized and injured in Shenzhen. The median age of patients was 30 years old. The ratio of male to female cases was 3.27:1. The injury occurred more frequently in the shoulder and upper limbs The average per capita cost of hospitalization and daily average cost of injury were 4 888 yuan and 528.6 yuan respectively, with the cumulative increases of 42.12% and 38.82%, respectively (34.80%). The main factors influencing the average daily hospitalization expenses were the hospital level, hospital admission, hospitalization time, age, payment method and the location of the injury. Conclusions Injury is one of the major diseases in Shenzhen residents. Effective interventions should be actively taken.