摘要目的 回顾性分析近五年来四川省人民医院老年住院患者的疾病谱和费用变化情况,为医院管理和疾病调查提供基线资料. 方法 通过医院信息系统提取2010年至2014年65岁以上住院患者的临床资料和费用情况,以国际疾病分类(ICD-10)为标准对出院疾病诊断进行分类.结果 我院2010年至2014年65岁以上住院患者共111 935例,其中男性占55.2％,女性占44.8％.平均年龄为(74.5±6.8)岁.老年住院患者主要诊断累计系统疾病前四位为循环系统疾病(21.0％)、呼吸系统疾病(13.7％)、消化系统疾病(12.7％)和肿瘤(12.1％),男性(55.2％)多于女性(44.8％).人均住院费用由2010年的18 778.1元增至2014年的23 391.9元.药品比由2010年的45.5％降至2014年的38.9％. 结论 我院2010年至2014年老年住院患者男性多于女性.最常见的系统疾病为循环系统疾病,其次分别为呼吸和消化系统疾病及肿瘤;药品比呈下降趋势,人均住院费用呈上升趋势.

abstractsObjective To retrospectively investigate the disease spectrum of inpatients aged over 65 year and cost constitution in Sichuan Provincial People's Hospital from 2010 to 2014,so as to provide baseline data for further study.Methods The inpatients'disease spectrum and costs were collected from hospital information system.The diseases were classified according to the International Classification of Diseases(ICD-10).The data were analyzed using SPSS 18.0 software.Results The total number of old inpatients was 111,935,and male (55.2 ％) was more than female (44.8 ％).The average age was (74.5 ±6.8)years.The top four systematic diseases of primary diagnosis were circulatory system disease (21.0 ％),respiratory system disease (13.7 ％),digestive system disease (12.7％)and neoplasms (12.1％).The total number of male inpatients was more than the female inpatients.The average cost per capita was increased from (￥)18,778.1 yuan to (￥)23,391.9 yuan since 2010.The proportion of all costs accounted for by drugs in elderly inpatients was decreased from 45.5％ to 38.9％ since 2010.Nosocomial infection was decreased from 3.19％ to 0.16％ since 2010.Conclusions The number of elderly inpatients are more in male than in female in Sichuan Provincial People's Hospital from 2010 to 2014.The most common systematic disease is circulatory system diseases,and followed by respiratory system diseases,digestive system diseases and neoplasms.The proportion of all expenditures accounted for by drugs was declined in five years,while the average cost per capita is increased.