Disease characteristics and hospitalization burden among older inpatients with hypertension in tertiary general hospitals in Jiangsu Province, China: a retrospective analysis

作者：Haibo Zhang, Jia-dong Xie, Zhengjun Li, Lei Zhang, Meng Zhang, Ling Yao, Yi Yang, Jin Liu, Si Li, Jun-long Shen, Yan Chen, Wenting Wen, Jun Zhao · 发表于：Research Square · 年份：2024 · DOI：10.21203/rs.3.rs-3803307/v1 · 研究领域：Chronic Disease Management Strategies、Healthcare Systems and Reforms、Health Systems, Economic Evaluations, Quality of Life

Abstract Objective : This study aimed to analyze disease characteristics and the hospitalization burden of older inpatients with hypertension in tertiary general hospitals in China, and to provide data support and decision-making basis for the Diagnosis Related Groups (DRG) payment system reform and health management service for elderly hypertension in tertiary general hospitals. Design : Retrospective chart review. Setting : Two tertiary general hospitals in Jiangsu Province, China. Participants : The participants were older adult inpatients who were treated at the two hospitals during the study period, totaling 54,181. Primary and secondary outcome measures : Front page data of inpatient medical records from 2015 to 2020 were collected from two tertiary general hospitals in Jiangsu Province, China. Demographic and disease characteristics of older hospitalized patients with hypertension were analyzed and their relationship to the hospital burden was quantified from the perspective of “disease occurrence-disease burden” assessment. Results : From 2015 to 2020, the number of elderly hypertension inpatients in tertiary hospitals increased by 4.3-fold, and the average comorbidity count rose from 4.13 to 4.86. Based on the 10th Revision of the International Statistical Classification of Diseases and Related Health Problems, common comorbidities included "hypertension + diabetes," "hypertension + cerebrovascular disease," and "hypertension + ischemic heart disease." The average an...