Hospitalization days and costs of patients with acute cholecystitis in different departments by DRGs

Abstract

Objective To analyze the differences in hospitalization days and costs of patients with acute cholecystitis in different departments or diagnosis related groups(DRGs), and provide scientific references for clinical medical management. Methods All the medical record homepages of the patients with acute cholecystitis were selected from a tertiary hospital from January 2017 to December 2017.The hospital analysis system of DRGs was used to calculate the classification results of DRGs.The Kruskal-Wallis H test was used to analyze the differences in hospital stays and costs between different DRGs or departments. Results The average length of stay was the shortest and the hospitalization cost in the department of hepatobiliary surgery was lower than other departments among patients with surgery and non-surgical(all P 0.05). The average cost in the department of hepatobiliary surgery was the lowest, and the average cost of gastrointestinal surgery was the highest in two DRGs of acute biliary disease without complications and concomitant symptoms and laparoscopic cholecystectomy without common bile duct exploration (all P<0.05). Conclusions Department of hepatobiliary surgery was better than other departments in the treatment of acute cholecystitis.Medical institutions should follow the principle of special treatment to reduce interdisciplinary patients and improve the professional competitiveness of the department. Key words: Cholecystitis, acute; Diagnosis-related groups; Length of stay; Hospitalization expenses; Hospital departments