Transfusion practice in Helsinki University Central Hospital: an analysis of diagnosis‐related groups (DRG)

Transfusion practice in Helsinki University Central Hospital: an analysis of diagnosis‐related groups (DRG)
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赫尔辛基大学中心医院的输血实践:诊断相关组 (DRG) 分析

DOI:
10.1046/j.1365-3148.2001.00338.x
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发表时间:
2001
影响因子:
1.5
通讯作者:
J. Lauharanta
J. Lauharanta
中科院分区:
医学4区
文献类型:
--
作者:
M. Syrjälä;I. Kytöniemi;K. Mikkolainen;J. Ranimo;J. Lauharanta

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。输血数据与医院数据库中自动记录的数据相结合,为血液利用报告提供了一个出色的工具。当使用在线分析处理(OLAP)工具执行报告时,可以向献血者提供实时报告。当这些数据与一个共同的患者分类系统--诊断相关组(DRG)相结合时,就有可能产生在不同机构中相似的统计结果,并可能为国际输血基准和成本比较提供一种手段。我们使用DRG分类来描述赫尔辛基大学中心医院的输血实践。关键指标包括输血患者的百分比、不同DRG组中输血单位的数量和成本,以及每DRG加权治疗病程的输血率。93%的输血可以归类为不同的DRG。使用DRG最多的是急性成人白血病(DRG 473),占全部输血费用的10.4%。1998年,13种最大的血液消耗DRG占总成本的一半。目前,缺乏一种国际公认的标准化方式来报告机构或国家的输血做法。基于DRG的输血报告可以作为输血基准的一种手段,从而有助于研究输血实践中的差异。
. Transfusion data combined with data automatically recorded in hospital databases provides an outstanding tool for blood utilization reporting. When the reporting is performed with an online analytical processing (OLAP) tool, real time reporting can be provided to blood subscribers. When this data is combined with a common patient classification system, Diagnosis‐Related Groups (DRG), it is possible to produce statistical results, that are similar in different institutions and may provide a means for international transfusion bench‐marking and cost comparison. We use a DRG classification to describe the transfusion practice in Helsinki University Central Hospital. The key indicators include the percentage of transfused patients, the number of transfused units and costs in different DRG groups, as well as transfusion rates per DRG weighted treatment episodes. Ninety‐three per cent of all transfusions could be classified into different DRGs. The largest blood‐using DRG group was acute adult leukaemia (DRG 473), which accounted for 10·4% of all transfusion costs. The 13 largest blood consuming DRGs accounted for half the total costs in 1998. Currently, there is a lack of an internationally accepted standardized way to report institutional or national transfusion practices. DRG‐based transfusion reporting might serve as a means for transfusion benchmarking and thus aid studies of variations in transfusion practice.
全膝关节和全髋关节置换手术中的红细胞输注。
DOI: 10.1046/j.1537-2995.1991.31691306252.x
发表时间: 1991
期刊: Transfusion
影响因子: 2.9
作者:
Surgenor,DM;Wallace,EL;Churchill,WH;Hao,SH;Chapman,RH;Poss,R
通讯作者: Poss,R