四川省脑卒中患者住院费用影响因素分析

目的 本研究基于2020年四川省脑卒中首次住院患者的病案首页信息，探究脑卒中患者首次住院费用的可能影响因素，为进一步降低患者的经济负担提供参考依据。方法 收集四川省首次住院脑卒中患者的病案首页信息，了解脑卒中患者的费用分布；运用两水平方差成分模型探究影响患者费用的因素。结果 出血性脑卒中患者的费用高于缺血型脑卒中患者(P<0.05)。影响脑卒中患者住院费用的主要因素有：是否手术、是否病危或病重、住院时间、医院级别、脑卒中类型等。结论 应加强在高龄人群中的脑卒中预防宣传工作，降低脑卒中给高龄人群带来的疾病负担。通过合理的入院评估，提高医疗效率，减少住院时间和不必要的手术治疗，有助于降低卒中患者的经济负担。

Influencing factors on hospitalization expenses of stroke patients,Sichuan

Objective To explore the potential factors of the first-time hospitalization expenses of stroke patients based on the information on the medical records of first-time hospitalized stroke patients in Sichuan Province in 2020 and to provide a reference for further reducing the economic burden of patients. Methods The information on the medical records of first-time hospitalized stroke patients in Sichuan Province was collected to understand the cost distribution of stroke patients and a mixed effects model was used to explore the factors that affect the cost of patients. Results The cost of hemorrhagic stroke patients was higher than that of patients with ischemic stroke(P<0.05). The main factors affecting the cost of hospitalization for stroke patients were found as follows: whether they are operated on, whether they have critical illness or serious during hospitalization, length of hospital stay, the level of hospital, and the type of stroke. Conclusion The publicity of stroke prevention in the elderly population should be strengthened to reduce the burden of disease brought by stroke to the elderly population. Through reasonable admission assessment, improving medical efficiency, reducing length of hospital stay and unnecessary surgical treatment can help reduce the economic burden of stroke patients.