2008年-2017年广西某医院住院死亡病例死因分析
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摘要
目的分析广西某院2008年-2017年间住院患者死亡病例的死因构成特点,了解疾病分布特点及变化趋势,为医院资源配置、技能提升、医院管理、建设健康广西等方面举措提供依据。方法运用Excel2010和SPSS22.0对广西某院2008年-2017年间6115例住院死亡病例进行统计描述和统计分析,采用Cox-Stuart趋势检验对广西某院2008年-2017年间住院患者病死率进行变化趋势分析,采用χ2检验对数据进行单因素分析。结果十年6115例住院死亡病例中,男性患者、中老年患者占比较大。十年住院患者总体病死率为0.84%,总体病死率呈逐年下降趋势,由2008年的1.50%下降到2017年的0.47%,经Cox-Stuart趋势检验,下降趋势具有统计学意义。肿瘤位居住院死亡病例死因顺位首位,其次是循环系统疾病和呼吸系统疾病,分别占总死亡例数的26.98%,25.07%,12.05%。肿瘤死因中又以恶性肿瘤为首。住院患者死因具有性别差异和年龄差异,单因素分析结果 P<0.001。结论广西某医院住院患者病死率逐年下降,住院患者病死率及死因构成整体与其他许多地区一致,同时兼具地方特点,住院死因具有性别差异和年龄差异,恶性肿瘤和心脑血管疾病较为突出,在优化资源配置、提升医院管理、降低病死率等方面应该因地制宜。
Objective To analyze the characteristics of death causes of inpatients in a hospital in Guangxi from2008 to 2017, to understand the distribution characteristics and trends of the disease, and to provide evidence for hospital resource allocation, skills upgrading, hospital management, and construction of health Guangxi. Methods Statistical analysis were performed on 6115 casesin a hospital in Guangxi from 2008 to 2017 using Excel2010 and SPSS22.0. The Cox-Stuart trend test was used to analyze the mortality trend.The data were analyzed by χ2 test for single factor analysis. Results Among the 6115 hospitalized death cases in the decade, male patients and middle-aged patients accounted for a large proportion. The overall mortality rate of hospitalized patients was 0.84%,and the overall mortality rate decreased year by year, from 1.50% in 2008 to 0.47% in 2017. The trend of decline was statistically significant after Cox-Stuart trend test. The death of the tumor in the hospital was the first cause of death, followed by circulatory and respiratory diseases, accounting for 26.98%, 25.07%, and 12.05% of the total deaths, respectively. Malignant tumors are the leading cause of tumor death. In the univariate analysis, P<0.001,inpatients of different genders and ages had different causes of death. Conclusion The mortality rate of inpatients in a hospital in Guangxi has been decreasing year by year. The mortality and death causes of hospitalized deaths in a hospital in Guangxi are consistent with many other areas. At the same time, they have local characteristics. There are gender differences and age differences in hospital deaths. Malignant tumors and cardiovascular and cerebrovascular diseases are more prominent. They should be adapted to local conditions in optimizing resource allocation, improving hospital management, and reducing mortality.
Objective To analyze the characteristics of death causes of inpatients in a hospital in Guangxi from2008 to 2017, to understand the distribution characteristics and trends of the disease, and to provide evidence for hospital resource allocation, skills upgrading, hospital management, and construction of health Guangxi. Methods Statistical analysis were performed on 6115 casesin a hospital in Guangxi from 2008 to 2017 using Excel2010 and SPSS22.0. The Cox-Stuart trend test was used to analyze the mortality trend.The data were analyzed by χ2 test for single factor analysis. Results Among the 6115 hospitalized death cases in the decade, male patients and middle-aged patients accounted for a large proportion. The overall mortality rate of hospitalized patients was 0.84%,and the overall mortality rate decreased year by year, from 1.50% in 2008 to 0.47% in 2017. The trend of decline was statistically significant after Cox-Stuart trend test. The death of the tumor in the hospital was the first cause of death, followed by circulatory and respiratory diseases, accounting for 26.98%, 25.07%, and 12.05% of the total deaths, respectively. Malignant tumors are the leading cause of tumor death. In the univariate analysis, P<0.001,inpatients of different genders and ages had different causes of death. Conclusion The mortality rate of inpatients in a hospital in Guangxi has been decreasing year by year. The mortality and death causes of hospitalized deaths in a hospital in Guangxi are consistent with many other areas. At the same time, they have local characteristics. There are gender differences and age differences in hospital deaths. Malignant tumors and cardiovascular and cerebrovascular diseases are more prominent. They should be adapted to local conditions in optimizing resource allocation, improving hospital management, and reducing mortality.
引文
[1]岳阳阳,郑黎强,郭佳凯,等.我国三级医院住院患者死亡率的影响因素分析[J].中国医院,2016,20(03):20-23.
[2]广西壮族自治区卫生健康委员会.自治区卫生健康委关于全区医联体建设情况的通报[EB/OL].(2019-01-24)[2019-03-14].http://www.gxhfpc.gov.cn/zwgk/zfxxgkml/w sjszh/yzgl/2019/0124/1234.html
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[5]陈美玲,温星来,冯素花,等.某院2007年-2016年住院死亡病例分析[J].中国病案,2018,19(04):50-52.
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[7]杨霞,何俊,孙莎鸥,等.宁夏某医院2006-2015年住院死亡病例死因分析[J].宁夏医科大学学报,2018,40(07):794-797.
[8]江少靖,柯莉.2011年-2016年某院住院死亡病例疾病及性别差异[J].中国病案,2018,19(11):54-56.
[9]李丹.2013-2017年四川省某中医院897例住院患者死因分析[J].现代医院,2018,18(12):1769-1772.
[10]欧文静,乔文莉,贾少博,等.2010年-2017年某综合医院住院死亡病例流行特征分析[J].中国病案,2018,19(12):66-71.
[11]罗乐.2013年-2017年老年住院患者情况分析[J].中国病案,2018,19(08):60-63.
[12]王莉霞,郝铁荣,柴小明.2001-2010年大同市恶性肿瘤住院病例统计分析[J].中国健康教育,2013,29(09):811-813.
[2]广西壮族自治区卫生健康委员会.自治区卫生健康委关于全区医联体建设情况的通报[EB/OL].(2019-01-24)[2019-03-14].http://www.gxhfpc.gov.cn/zwgk/zfxxgkml/w sjszh/yzgl/2019/0124/1234.html
[3]朱双红.2008-2017年某医院住院死亡病例统计分析[J].中国医院统计,2018,25(04):310-311,314.
[4]权少敏.2009年-2016年某三甲医院2093份死亡病例分析[J].中国病案,2018,19(06):57-59.
[5]陈美玲,温星来,冯素花,等.某院2007年-2016年住院死亡病例分析[J].中国病案,2018,19(04):50-52.
[6]杨美多,许长禄.6601例住院患者死因调查[J].中国病案,2018,19(03):54-57.
[7]杨霞,何俊,孙莎鸥,等.宁夏某医院2006-2015年住院死亡病例死因分析[J].宁夏医科大学学报,2018,40(07):794-797.
[8]江少靖,柯莉.2011年-2016年某院住院死亡病例疾病及性别差异[J].中国病案,2018,19(11):54-56.
[9]李丹.2013-2017年四川省某中医院897例住院患者死因分析[J].现代医院,2018,18(12):1769-1772.
[10]欧文静,乔文莉,贾少博,等.2010年-2017年某综合医院住院死亡病例流行特征分析[J].中国病案,2018,19(12):66-71.
[11]罗乐.2013年-2017年老年住院患者情况分析[J].中国病案,2018,19(08):60-63.
[12]王莉霞,郝铁荣,柴小明.2001-2010年大同市恶性肿瘤住院病例统计分析[J].中国健康教育,2013,29(09):811-813.