[1]付婷辉陈吟仇叶龙董爱然侯东敏郭默宁.新生儿呼吸窘迫综合征的DRG分组探讨[J].中国卫生质量管理,2023,30(10):32-37.[doi:10.13912/j.cnki.chqm.2023.30.10.08 ]
　FU Tinghui,CHEN Yin,QIU Yelong.DRG Grouping of Neonatal Respiratory Distress Syndrome[J].Chinese Health Quality Management,2023,30(10):32-37.[doi:10.13912/j.cnki.chqm.2023.30.10.08 ]

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新生儿呼吸窘迫综合征的DRG分组探讨

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第30卷期数: 2023年10期页码: 32-37 栏目: 医疗质量出版日期: 2023-10-15

Title:: DRG Grouping of Neonatal Respiratory Distress Syndrome

作者:: 付婷辉陈吟仇叶龙董爱然侯东敏郭默宁; 首都医科大学附属北京妇产医院（北京妇幼保健院）

Author(s):: FU Tinghui; CHEN Yin; QIU Yelong; Beijing Obstetrics and Gynecology Hospital(Capital Medical University)/Beijing Maternal and Child Health Care Hospital

关键词:: 新生儿呼吸窘迫综合征; 出生体重; DRG分组

Keywords:: Neonatal Respiratory Distress Syndrome; Birth Weight; Diagnosis Related Groups

分类号:: R197.323

DOI:: 10.13912/j.cnki.chqm.2023.30.10.08

文献标志码:: A

摘要:: 目的探讨新生儿呼吸窘迫综合征（NRDS）DRG分组依据的合理性，为完善分组方案提供参考。方法对某市2016年1月1日-2021年12月31日出生天数＜29 d的新生儿病案首页及诊断包含NRDS数据，应用CN-DRG分组方案（2018版）进行分组，采用 SPSS 24.0软件进行统计学分析。结果诊断包含NRDS病例数从2016年456例增长到2021年1 307例。成组标准为费用差值的绝对值≥20%，主要诊断NRDS（出生体重＜1 500 g）与极度发育不全（出生体重＜1 500 g）费用比较，差值为16.2%；主要诊断NRDS及其他诊断包含NRDS的出生体重＜1 500 g与1 500 g～＜2 000 g费用差值分别为53.9%与44.7%，出生体重1 500 g～＜2 000 g与2 000 g～＜2 500 g费用差值分别为50.7%与42.5%。结论出生体重＜1 500 g不独立成组，并入极度发育不全组；出生体重≥1 500 g可独立成组，分为出生体重1 500 g～＜2 000 g及≥2 000 g两个组别。须注意新生儿除外科手术操作组外分组顺序的合理性。

Abstract:: ObjectiveTo explore the rationality of DRG grouping for neonatal respiratory distress syndrome (NRDS) and provide reference for improving the grouping scheme.MethodsThe NRDS data from first page of medical records and diagnoses of newborns with less than 29 days of birth from January 1, 2016 to December 31, 2021 in a city were collected, which were grouped by CN-DRG grouping scheme (2018 edition) and statistically analyzed by SPSS 24.0 software. ResultsThe number of cases diagnosed with NRDS increased from 456 in 2016 to 1 307 in 2021. The absolute value of the cost difference was ≥20%, and the difference between the cost of principal diagnosis NRDS (birth weight < 1 500 g) and extreme hypoplasia (birth weight < 1 500 g) was 16.2%. The differences in cost between primary diagnosis NRDS and secondary diagnoses including NRDS for birth weight < 1 500 g and 1 500 g ~ < 2 000 g were 53.9% and 44.7%, respectively. The differences between birth weight 1 500 g ~ < 2 000 g and 2 000 g ~ < 2 500 g were 50.7% and 42.5%, respectively.Conclusion Birth weight < 1 500 g was not an independent group, and was incorporated into extreme hypoplasia group. Birth weight ≥1 500 g can be independently divided into two groups, birth weight 1 500 g ~ < 2 000 g and ≥2 000 g. Attention should be paid to the reasonableness of the grouping order of neonates except the surgical operation group.

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更新日期/Last Update: 2023-10-15