Analysis the disease constitution and costs of inpatients in Karamay Central Hospital in 2014_Chinese Journal of Evidence-Based Medicine

Authors：

LIU Yongjiang ¹ , YU Jiajie ² ,  ZHANG Weidong ¹ ,  LI Youping ² , WU Min ¹ , XU Ting ³ , LIU Jianhong ¹ , LU Jing ² , WANG Guotuan ¹ , SUN Xin ² , SU Guanyue ²

1. Department of Pharmacy, Karamay Central Hospital, Karamay, 834000, P.R.China;
2. Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
3. Department of Pharmacy, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding author：

ZHANG Weidong, Email: 0990end@sohu.com.cn; LI Youping, Email: yzmylab@hotmail.com

Keywords：

Karamay Central Hospital; Inpatients; Disease constitution; Costs

DOI：

10.7507/1672-2531.201608041

Video：

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Objective To investigate inpatients disease constitution, costs and rational drug use in the Karamay Central Hospital in 2014 and provide baseline data for further evidence-based study. Methods The information of disease classification, single disease drug use and expenditure of inpatients in 2014 were collected from the Hospital Information System (HIS) of Karamay Central Hospital. We classified the diseases according to the international classification of diseases coding (ICD-10), and analyzed the data by Microsoft Excel 2007 software including frequency, proportion, cumulative proportion and sample average. Results ① A total of 24 936 inpatients in 2014 were included, with male to female ratio being 0.96 to 1 and minority rate being 22.95%. The top three systematic diseases were respiratory diseases, diseases concerning pregnancy, child birth and puerperium and circulatory system diseases respectively; ② The top three age groups were 25 to 59, ≥60 and 0 to 4 respectively; ③ The top three costs per capita of single disease were pulmonary infectious, tumor chemotherapy and symptomatic treatment respectively; the top three western medicine costs per capita were tumor chemotherapy, symptomatic treatment and pulmonary infection; the top three Chinese medicine costs per capita were chronic kidney disease (CKD), angina and ischemic stroke. Conclusion The single diseases ranking and percentage of inpatients in 2014 of Karamay Central Hospital were different from the disease burden of Xinjiang Uygur Autonomous Region, the country and even the whole world. Based on the above results, the respiratory diseases and circulatory diseases were selected as the systematic evidence-based pharmacy study goal.

Citation： LIU Yongjiang, YU Jiajie, ZHANG Weidong, LI Youping, WU Min, XU Ting, LIU Jianhong, LU Jing, WANG Guotuan, SUN Xin, SU Guanyue. Analysis the disease constitution and costs of inpatients in Karamay Central Hospital in 2014. Chinese Journal of Evidence-Based Medicine, 2017, 17(4): 373-378. doi: 10.7507/1672-2531.201608041 Copy

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1. 克拉玛依市统计局. 克拉玛依市 2014 年国民经济和社会发展统计公报. Available at: .
2. 王莉, 袁强, 李鸿浩, 等. 循证临床药学实践－概念、实践模式及步骤. 中国循证医学杂志, 2011, 11(10): 1103-1105.
3. 徐张燕, 张敏, 崔亚萍, 等. 疾病负担研究的发展与应用. 中国肿瘤, 2013, 22(8): 638-643.
4. 贾惠莉, 杨华, 朱惠. 2013 年新疆某三级综合医院住院患者疾病构成分析. 中国卫生统计, 2015, 32(12): 979-983.
5. 郭建新, 张瑞萍. 乌鲁木齐市某院 9 524 例老年住院患者疾病构成分析. 数理医药杂志, 2012, 25(1): 85-86.
6. 国家卫生和计划生育委员会. 中国卫生和计划生育统计年鉴 2015. 北京: 中国协和医科大学出版社, 2015, 152-155.
7. 马国芳, 瓦日斯江·阿不都斯木, 杨洁. 2011 年乌鲁木齐市某三甲医院院老年住院患者疾病构成分析. 中国老年学杂志, 2014, 34(1): 471-473.
8. Prince MJ, Wu F, Guo Y, et al. The burden of disease in older people and implications for health policy and practice. Lancet, 2015, 385(9967): 549-562.
9. 夏拥军, 韩俊洋, 刘才华, 等. 2010～2013 年新疆某三甲医院疾病谱分析. 中国病案, 2015, 16(4): 66-69.
10. 李超, 高振, 卢勇. 新疆维吾尔自治区中医医院 2008～2010 年度住院疾病构成调查. 中国循证医学杂志, 2012, 12(4): 420-425.
11. 徐洪元, 贾恩志, 史海龙. 新疆伊犁州 2001 年至 2010 年住院患者疾病谱研究. 中华医院管理杂志, 2012, 28(4): 277-279.
12. 汤海燕. 2009 年～2013 年某院住院患者疾病构成分析. 中国病案, 2014, 15(8): 61-63.
13. 罗文伟, 张伟雄, 燕花秀. 新疆某县医院 2008 年～2012 年住院患者疾病构成分析. 中国病案, 2014, 15(2): 49-51.
14. Murray CJ, Vos T, Lozano R, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the global burden of disease study 2010. Lancet, 2012, 380(9859): 2197-2223.
15. Yang G, Wang Y, Zeng Y, et al. Rapid health transition in China, 1990-2010: findings from the global burden of disease study 2010. Lancet, 2013, 381(9882): 1987-2015.
16. Murray CJ, Atkinson C, Bhalla K, et al. The state of US health, 1990-2010: burden of diseases, injuries, and risk factors. JAMA, 2013, 310(6): 591-608.
17. Wang H, Dwyer-Lindgren L, Lofgren KT, et al. Age-specific and sex-specific mortality in 187 countries, 1970-2010: a systematic analysis for the global burden of disease study 2010. Lancet, 2012, 380(9859): 2071-2094.
18. Haro JM, Tyrovolas S, Garin N, et al. The burden of disease in Spain: results from the global burden of disease study 2010. BMC Med, 2014, 12: 236.
19. Zhou M, Wang H, Zhu J, et al. Cause-specific mortality for 240 causes in China during 1990-2013: a systematic subnational analysis for the Global Burden of Disease Study 2013. Lancet, 2016, 387(10015): 251-272.
20. Global Burden of Disease Pediatrics Collaboration, Kyu HH, Pinho C, et al. Global and national burden of diseases and injuries among children and adolescents between 1990 and 2013: findings from the global burden of disease 2013 study. JAMA Pediatr, 2016, 170(3): 267-287.
21. Kivimäki M, Vineis P, Brunner EJ, et al. How can we reduce the global burden of disease? Lancet, 2015, 386(10010): 2235-2237.
22. Institute for Health Metrics and Evaluation. GBD Compare. Available at: .

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