| 高晓凤,陈建,杨小东,孙鑫,李幼平,秦雯霞.综合医院住院结核病患者特征与治疗转归的对应分析[J].Chinese journal of Epidemiology,2006,27(8):716-720 |
| 综合医院住院结核病患者特征与治疗转归的对应分析 |
| Study on the results of treating tuberculosis inpatient in the general hospitals: a correspondence analysis |
| Received:December 22, 2005 |
| DOI： |
| KeyWord: 结核 对应分析 综合医院 |
| English Key Word: Tuberculosis Correspondence analysis General hospitals |
| FundProject: |
| Author Name | Affiliation | E-mail | | GAO Xiao-feng | Evidenced-Based Medicine and Clinical Epidemiology Center, West China Hospital, Sichuan University, Chengdu 610041, China | | | CHEN Jian | 华西公共卫生学院社会医学教研室
| | | YANG Xiao-dong | 华西医院华西临床医学院呼吸内科 | | | SUN Xin | Evidenced-Based Medicine and Clinical Epidemiology Center, West China Hospital, Sichuan University, Chengdu 610041, China | | | LI You-ping | Evidenced-Based Medicine and Clinical Epidemiology Center, West China Hospital, Sichuan University, Chengdu 610041, China | gxf-8@163.com | | QIN Wen-xia | Evidenced-Based Medicine and Clinical Epidemiology Center, West China Hospital, Sichuan University, Chengdu 610041, China | |
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| Abstract: |
| 目的了解中国综合医院结核病住院病例的治疗效果,探索不同属性特征的结核病患者住院期间的治疗转归。方法对南充地区综合医院2003年结核病住院病例进行回顾性研究,采用X2检验确定对住院转归具有统计学意义的属性变量,在此基础上,再采用对应分析方法揭示结核病患者不同属性特征与不同住院转归之间的内在联系。结果X2检验结果显示,住院结核病例的性别、年龄、入院时病情、伴随病(其他疾病或并发症)及住院天数对住院转归具有统计学意义;对应分析图进一步显示患者属性特征与住院转归的关系:(1)住院期间死亡的结核病患者与治愈、好转的结核病例属性特征差别较大;(2)年龄在15岁以上、入院时病情急的男性结核病患者住院期间容易出现好转的治疗结局;(3)入院时病情一般、没有伴随病、住院时间超过8天的女性结核病例相对容易出现治愈的结局;(4)住院治疗效果较差的结核病例在年龄<15岁、入院病情危重两方面表现出一定的一致性。结论(1)如何从病案繁杂的信息中提取出有用的信息,对应分析提供了一种新的思路;(2)综合医院结核住院患者特征与住院转归间存在一定的对应关系,应针对不同特征的结核住院患者制定相应的防治策略,以强化完成抗结核病治疗提高治愈率。 |
| English Abstract: |
| Objective To understand the current status of treatment among inpatients of tuberculosis(TB) in general hospitals, and to related to different attributes.Methods A retrospective study was designed for inpatients with TB who were discharged from general hospitals in Nanchong region. 2003. Factors associated with the results of treatment were selected, using Chi-square test. Further correspondence analysis(CA) was used to visualize the relationship between attributes of inpatients and results of treatment in general hospitals.Results Statistically significant factors associated with treatment results would include gender, age, state of illness at access to hospital, comorbidity and length of stay, while ways of payment, occupation and marital status were not statistically significant. The joint plot of CA showed results as follows:(1)Attributes of inpatients died in general hospitals were clearly different from that of cured or improved inpatients. ( 2 ) Result of hospitalization on treatment was more likely to be ‘improved' for TB inpatients who were male, aged X15 yrs, and with urgent condition when administered into the hospitals. (3) Result of cure was likely to be seen among inpatients who were female, length of stay >8 days, with no comorbidity, and with average illness state when accessing to hospitals. (4) Bad treatment results were appeared for inpatients younger than 15 yrs, with critical state when administered to hospitals.Conclusion(1)CA provided us with a new way on how to extract useful information from miscellaneous data of the patients. (2) The relationships between the results of treatment from the general hospitals and TB inpatients' attributes might provide tips to develop a series of corresponding strategies for treating TB inpatients with special attributes in order to obtain higher cure rate. |
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