| Objective: With the development of economy and the change of environment and life style,the global disease spectrum has changed greatly,and chronic Non-communicable disease has Public health’s primary issue gradually became the focus.The prevalence of diabetes is particularly high among them,with poorly managed conditions often leading to a range of chronic issues and complications that can detrimentally affect the life expectancy and quality of life of those affected.The prevalence of diabetes in our nation has been steadily rising in recent times,and the medical costs of it have been on the rise,becoming a tremendous financial and medical burden.The key indices to measure the success of hospitals and departments are both average and super length of stay,which are also the statistical indicators to gauge the quality of medical work,the level of medical technology,the efficiency of hospital work,and the management.However,there are still few studies on the average length of stay of hospitalized patients with diabetes,so this study takes the type II diabetic inpatients in a third-grade hospital as the research object,and investigates the population characteristics of hospitalized diabetic patients,to calculate the average length of stay and super length of stay,Examining the elements that shape the duration of hospitalization for diabetic patients,so as to regulate the length of stay and enhance the social and economic advantages of the hospital.Methods: A total of 4424 inpatients with type II diabetes mellitus in the department of endocrinology,a large 3A hospital in the 2021,were included in this cross-sectional study from 2009 to 2009.The basic information,physiological indexes,living habits,diagnosis,treatment,the number of complications and length of stay were collected.The average length of stay and extra-long length of stay were calculated,and Joinpoint model was used to judge the trend of average length of stay and whether it had statistical significance.The average length of stay and extra-long length of stay were divided into groups,and the differences of basic characteristics among different groups were compared by χ2 test and nonparametric test,to explore the influence of different factors on length of stay.Results: 1.Significant disparities in age,diabetes history,blood pressure,blood lipids,treatment regimen,and number of complications(P< 0.05)were observed between the two groups,with the mean hospital stay being less than 12 days and the mean being more than 12 days.2.The Joinpoint model revealed a decrease in the daily2021 trend from 2009 to 2021(AAPC =-3.2%),with a statistically significant difference(P < 0.001).< 0.001).The decline trend from 2009 to 2019 was flat(APC =-2.0%,P < 0.001),and from 2019 to 2019,the 2021 declined rapidly(APC=-9.1%,P < 0.001).The trend of ultra-long length of stay was decreasing(AAPC =-3.8%),and the difference was significant(P < 0.001).The decline trend from 2009 to 2019 was flat(APC =-1.8%,P < 0.001),and from 2019 to 2019,the 2021 declined sharply(APC =-13.1%,P < 0.001).3.The non-parametric test results of the factors affecting the average length of stay showed that,age(P < 0.001),history of diabetes mellitus(P = 0.001),blood pressure(P = 0.002),blood lipids(P = 0.037),smoking index(P = 0.009),WHR(P = 0.041),WHTR(P < 0.001),treatment(P <0.001)and the number of complications(P < 0.001)were the risk factors for the average length of stay of diabetic patients,the difference was statistically significant.4.Multiple linear regression analysis showed that the regression coefficient of age to average length of stay was 0.034,and that of smoking index to average length of stay was 0.038,the regression coefficient of WHR to average length of stay was-0.03,WHTR to average length of stay was-0.165,and treatment regimen to average length of stay was-0.165,the regression coefficient between the number of complications and the average length of hospital stay was 0.151.5.A chi-square test of univariate nature revealed a significant disparity in the amount of complications between the two groups,regardless of age,diabetes history,hypertension,hyperlipemia,WHTR being normal or abdominal obesity(P < 0.05).No statistical significance was found between the two groups in regards to whether a family history of diabetes existed,if the smoking index was greater than 400,if the drinking index was over 150,and if the WC and WHR were normal or abdominal obesity.6.Binary logistics regression revealed that the likelihood of hospitalization duration surpassing GT was considerable.12 days was 1.204 times(P = 0.005)in patients aged ≥65 years compared with younger patients The 12-day probability was 1.836 times that of patients without a history of diabetes(P = 0.003),and the 12-day probability was0.536 times that of patients with a higher treatment grade than those with a lower treatment grade(P < 0.001),patients with a high number of complications were1.310 times more likely to have a hospital stay of > 12 days than those with a low number of complications(P < 0.001).7.Non-parametric analysis of the influencing factors of long hospital stay,the age(P = 0.043),smoking index(P = 0.028),WHR(P = 0.039),WHTR(P = 0.034),treatment(P = 0.026),the number of complications(P < 0.001)had influence on the long-term hospitalization of diabetic patients,the difference was statistically significant.8.The results of multi-factor analysis on the influencing factors of extra-long hospitalization days,the influencing factors of the super-long hospital stay were: treatment plan(β =-0.275,P < 0.001),number of complications(β = 0.150,P < 0.001),WHTR(β =-0.143,P = 0.018),age(β = 0.032,P = 0.040)and smoking index(β = 0.028,P = 0.030).Conclusion:1.A downward trend in the average length of stay and the length of stay of type II diabetics was observed from 2009 to 2021.The decline from 2009 to 2019 was more moderate and from 2019 to 2021 was 2021.2.The average length of stay of type II diabetic patients was impacted by age,diabetes history,smoking index,waist-to-hip ratio,waist-to-height ratio,treatment regimen,and the amount of complications.3.Treatment Regimen,the number of complications,waist-to-height ratio,age and smoking index were the influencing factors of long-term hospitalization in type II diabetic patients. |
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