| Summary: | 碩士 === 高雄醫學大學 === 醫務管理學研究所碩士在職專班 === 99 === Aims:
In response to TW-DRG implementation, based on safety, through the radial artery cardiac catheterization intervention, how to make patients discharged earlier, save health care costs and create a win-win between patients and hospitals.
Methods:
In this retrospective study in Pingtung Paochien Hospital, Taiwan, we enrolled 282 cases from January 1 in 2006 to December 31 in 2010.
Results:
In the admission less than 24 hours after the PCI treatment, there were 129 males and 51 females (64.3±12.5 years, mean ± s.d.). Besides, in other group over 24 hours, there were 74 males and 28 females (69.1±11.5 years). We also found several associations that age under 65 years had a positive association with discharge in 24H, most cases with over 2 lesions tended to hospitalize over 12H, the incidence of complications had relationship with Troponin–I (p=0.001), complications frequently happened in 6H, patients using stents admitted over 24H, and the severity of lesion type , B2 or C, hospitalized over 24H. Using Logistic Regression Analysis, age ?T 65 years (RR 1.683)、Troponin-I ?T 1 ug/L (RR 1.963)、lesion numbers ?T 2 (RR 1.402)、Treatments using stents (RR 1.963)、vascular type such as A & B1 (RR 1.683)、non-complication (RR 2.153).
Conclusion：
If patients have characteristics like age ?T 65 years, Troponin-I ?T 1 ug/L, lesion numbers less than 2, treated with stents, vascular type diagnosed as A and B1, and non-complication, they could tend to discharge in 24 hours after PCI treatment.
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