CAJ | 학술논문

目的探讨某三级综合医院康复医学科超长住院日的影响因素，为有效缩短该科平均住院日提供科学依据。方法通过病案管理与医疗统计系统，提取2007-2011年康复医学科出院患者病案首页数据，将住院天数大于30天定义为超长住院日；利用logistic回归模型分析该科超长住院日的影响因素。结果多因素logistic回归分析显示转科、神经系统疾病及其后遗症、院内感染、有合并症、术前住院天数均是影响康复医学科超长住院日的影响因素（P＜0×05）。结论康复医学科住院日受多种因素的影响，应针对相关影响因素采取合理措施，控制住院日。
목적탐토모삼급종합의원강복의학과초장주원일적영향인소，위유효축단해과평균주원일제공과학의거。방법통과병안관리여의료통계계통，제취2007-2011년강복의학과출원환자병안수혈수거，장주원천수대우30천정의위초장주원일；이용logistic회귀모형분석해과초장주원일적영향인소。결과다인소logistic회귀분석현시전과、신경계통질병급기후유증、원내감염、유합병증、술전주원천수균시영향강복의학과초장주원일적영향인소（P＜0×05）。결론강복의학과주원일수다충인소적영향，응침대상관영향인소채취합리조시，공제주원일。
Objective To explore the influence factors of long length-of-stay in the department of rehabilitation medi-cine.Methods The first page of medical record of discharged patients in the department of rehabilitation medicine from 2007 to 2011 were from HIS Statistical Integration.The long length-of-stay in hospital was defined as more than 30 days.Unconditional logistic regression was used for influence factors of long length-of-stay in the department of rehabilitation medicine .Results Multivariate logistic regression analysis showed that influence factors included: transfer (OR=31.65), nosocomial infections (OR=3.19), neurological disease and its sequelae (OR=2.84), complications (OR=1.49), waiting days before surgery (OR=1.08).Conclusion Length of stay of department of rehabilitation medicine is influenced by multiple factors, and prevention measures would be taken to control long length-of-stay.