某三级综合医院2013-2017年住院患者死亡病例统计分析
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摘要
目的对某综合医院住院患者死亡病例进行死因分析,为医院的医疗管理和疾病防控提供参考。方法收集该院2013-2017年医院电子病历系统和病案统计管理系统病案首页的死亡病例相关资料,对数据进行整理分析。结果 2013-2017年该院出院人数持续增长,死亡人数也不断增加,病死率最高达1.03%,总体呈上升趋势。且出院人数和死亡人数呈正相关(r=0.97,P=0.008)。5年间男性出院人数为75 850人(46.73%),男性死亡人数为887人,病死率为1.17%;女性出院人数为86 450人(53.27%),女性死亡人数为576人,病死率为0.67%。男性患者病死率明显高于女性(P<0.05)。年龄<5岁者病死率为0.15%,5～<14岁者病死率为0.09%,14～<45岁者病死率为0.23%,45～<60岁者病死率为0.85%,年龄≥60岁者病死率为1.91%,不同年龄段患者的病死率比较,差异有统计学意义(P<0.05)。医院2013-2017年住院患者排名前3位的死因依次为肿瘤(35.41%)、循环系统疾病(26.18%)、呼吸系统疾病(16.68%),前3位死因死亡人数占总死亡人数的78.27%;且肿瘤、循环系统疾病及呼吸系统疾病男性病死率均高于女性(均P<0.05)。结论医院应加强医院内涵建设,提高医疗质量,做好一级预防和健康宣教等工作。
Objective To analyze the causes of death in hospitalized patients in a tertiary comprehensive hospital,so as to provide insights into healthcare management and disease prevention and treatment.Methods Based on the Electronic Medical Record System and Medical Information System of the hospital,the front sheet data of death cases from 2013 to2017 were extracted and analyzed.Results During the period from 2013 to 2017,as the number of discharged patients continued to increase,the number of death cases also increased;the mortality rate was up to 1.03% with a rising trend in general.A positive correlation was observed between the number of discharged patients and the number of death cases(r= 0.97,P= 0.008).Of the 75,850 discharged male patients(46.73%),887 died with a mortality rate of 1.17%;of the 86,450 discharged female patients(53.27%),576 died with a mortality rate of 0.67%.The mortality rate in males was significantly higher than that in females(P<0.05).In the age groups of <5 years,5-14 years,14-45 years,45-60 years,and ≥60 years,the mortality rates were 0.15%,0.09%,0.23%,0.85%,and 1.91%,respectively;the differences in mortality rate among different age groups were statistically significant(P<0.05).The top 3 causes of death were tumor(35.41%),circulatory disease(26.18%),and respiratory disease(16.68%),which accounted for 78.27% of the total death cases.Also,significantly more males died of tumor,circulatory disease and respiratory disease than females(all P<0.05).Conclusion It is important for the hospital to reinforce connotation construction,improve the quality of medical service,as well as enhance primary prevention and health education.
Objective To analyze the causes of death in hospitalized patients in a tertiary comprehensive hospital,so as to provide insights into healthcare management and disease prevention and treatment.Methods Based on the Electronic Medical Record System and Medical Information System of the hospital,the front sheet data of death cases from 2013 to2017 were extracted and analyzed.Results During the period from 2013 to 2017,as the number of discharged patients continued to increase,the number of death cases also increased;the mortality rate was up to 1.03% with a rising trend in general.A positive correlation was observed between the number of discharged patients and the number of death cases(r= 0.97,P= 0.008).Of the 75,850 discharged male patients(46.73%),887 died with a mortality rate of 1.17%;of the 86,450 discharged female patients(53.27%),576 died with a mortality rate of 0.67%.The mortality rate in males was significantly higher than that in females(P<0.05).In the age groups of <5 years,5-14 years,14-45 years,45-60 years,and ≥60 years,the mortality rates were 0.15%,0.09%,0.23%,0.85%,and 1.91%,respectively;the differences in mortality rate among different age groups were statistically significant(P<0.05).The top 3 causes of death were tumor(35.41%),circulatory disease(26.18%),and respiratory disease(16.68%),which accounted for 78.27% of the total death cases.Also,significantly more males died of tumor,circulatory disease and respiratory disease than females(all P<0.05).Conclusion It is important for the hospital to reinforce connotation construction,improve the quality of medical service,as well as enhance primary prevention and health education.
引文
[1]于蓓.某院2006-2015年住院死亡病例统计分析[J].中国卫生统计,2017,34(1):121-122.
[2]梁学柱.安庆市某院2007-2013年住院病人死亡病例分析[J].中国卫生统计,2015,32(3):496-497.
[3]马丽娟.2009-2013年某院3372例住院死亡病例分析[J].中国卫生统计,2015,32(2):333-334.
[4]王伟伟,吴首伟,曹娟花,等.2006年-2015年上海某院住院死亡病例分析[J].中国病案,2017,18(7):63-67.DOI:10.3969/j.issn.1672-2566.2017.07.024.
[5]石宝星,范忠才.西南医科大学附属医院8 670例住院死亡患者特征分析[J].重庆医学,2016,45(33):4691-4694. DOI:10. 3969/j. issn. 1671-8348. 2016. 33.027.
[6]杨燕媚,杨志平.2009-2013年某院住院死亡病人的统计分析[J].中国医院统计,2014,21(3):185-186.DOI:10.3969/j.issn.1006-5253.2014.03.009.
[7]明星辰,方孝梅,罗勤,等.某综合医院1083例死亡病例分析[J].中国病案,2016,17(10):47-50.
[8]赵景义,郝志强.某三级甲等医院2006-2015年住院死亡病例分析[J].中国药物与临床,2016,16(10):1421-1423.DOI:10.11655/zgywylc2016.10.008.
[9]罗乐,张昊.四川省某医院2010年-2015年住院患者死亡情况统计分析[J].中国病案,2016,17(10):60-62.
[10]王菲菲.2011-2015年常州市某三甲医院住院死亡病例分析[J].中国保健营养,2017,27(18):368-369.DOI:10.3969/j.issn.1004-7484.2017.18.573.
[11]蒋雯雯,胡胜英,胡峻,等.某院2009年-2014年住院死亡病例分析[J].中国病案,2016,17(1):69-72.
[12]徐铼媛.2004年-2013年某院呼吸系统住院患者发展趋势分析[J].中国病案,2014,15(7):56-57. DOI:10.3969/j.issn.1672-2566.2014.07.026.
[13]钟玲.杭州市某院住院死亡病例统计分析(2008-2017年)[J].养生保健指南,2018,(4):270.
[14]彭伟彬,刘颜,伍友春,等.2003-2016年某院住院死亡病例疾病谱统计分析[J].中国医院统计,2017,24(4):241-244.DOI:10.3969/j.issn.1006-5253.2017.04.001.
[15]吴兆雪.2012年-2016年住院患者恶性肿瘤死亡病例构成分析[J].中国病案,2018,19(4):43-46.DOI:10.3969/j.issn.1672-2566.2018.04.017.
[16]刘青青,陈剑铭,夏志伟.2006年-2016年某三甲综合医院死因变化趋势分析[J].中国病案,2018,19(1):45-49.DOI:10.3969/j.issn.1672-2566.2018.01.017.
[17]晁利利,陈思思,丁苏青.某院2010年-2016年住院死亡病例流行特征及死因分析[J].中国病案,2017,18(10):75-77. DOI:10. 3969/j. issn. 1672-2566. 2017.10.027.
[18]张秋红.2015-2016年某院住院患者死亡病例分析[J].中国医院统计,2017,24(6):479-480. DOI:10.3969/j.issn.1006-5253.2017.06.029.
[19]李利伟,衣淑娟,姜巧巧.某综合医院2013-2016年住院死亡病例分析[J].现代医药卫生,2018,34(1):25-26.DOI:10.3969/j.issn.1009-5519.2018.01.008.
[20]周晓丽.当前我国社区老年慢性病管理研究中的问题与思考[J].社区医学杂志,2017,15(17):80-81.
[2]梁学柱.安庆市某院2007-2013年住院病人死亡病例分析[J].中国卫生统计,2015,32(3):496-497.
[3]马丽娟.2009-2013年某院3372例住院死亡病例分析[J].中国卫生统计,2015,32(2):333-334.
[4]王伟伟,吴首伟,曹娟花,等.2006年-2015年上海某院住院死亡病例分析[J].中国病案,2017,18(7):63-67.DOI:10.3969/j.issn.1672-2566.2017.07.024.
[5]石宝星,范忠才.西南医科大学附属医院8 670例住院死亡患者特征分析[J].重庆医学,2016,45(33):4691-4694. DOI:10. 3969/j. issn. 1671-8348. 2016. 33.027.
[6]杨燕媚,杨志平.2009-2013年某院住院死亡病人的统计分析[J].中国医院统计,2014,21(3):185-186.DOI:10.3969/j.issn.1006-5253.2014.03.009.
[7]明星辰,方孝梅,罗勤,等.某综合医院1083例死亡病例分析[J].中国病案,2016,17(10):47-50.
[8]赵景义,郝志强.某三级甲等医院2006-2015年住院死亡病例分析[J].中国药物与临床,2016,16(10):1421-1423.DOI:10.11655/zgywylc2016.10.008.
[9]罗乐,张昊.四川省某医院2010年-2015年住院患者死亡情况统计分析[J].中国病案,2016,17(10):60-62.
[10]王菲菲.2011-2015年常州市某三甲医院住院死亡病例分析[J].中国保健营养,2017,27(18):368-369.DOI:10.3969/j.issn.1004-7484.2017.18.573.
[11]蒋雯雯,胡胜英,胡峻,等.某院2009年-2014年住院死亡病例分析[J].中国病案,2016,17(1):69-72.
[12]徐铼媛.2004年-2013年某院呼吸系统住院患者发展趋势分析[J].中国病案,2014,15(7):56-57. DOI:10.3969/j.issn.1672-2566.2014.07.026.
[13]钟玲.杭州市某院住院死亡病例统计分析(2008-2017年)[J].养生保健指南,2018,(4):270.
[14]彭伟彬,刘颜,伍友春,等.2003-2016年某院住院死亡病例疾病谱统计分析[J].中国医院统计,2017,24(4):241-244.DOI:10.3969/j.issn.1006-5253.2017.04.001.
[15]吴兆雪.2012年-2016年住院患者恶性肿瘤死亡病例构成分析[J].中国病案,2018,19(4):43-46.DOI:10.3969/j.issn.1672-2566.2018.04.017.
[16]刘青青,陈剑铭,夏志伟.2006年-2016年某三甲综合医院死因变化趋势分析[J].中国病案,2018,19(1):45-49.DOI:10.3969/j.issn.1672-2566.2018.01.017.
[17]晁利利,陈思思,丁苏青.某院2010年-2016年住院死亡病例流行特征及死因分析[J].中国病案,2017,18(10):75-77. DOI:10. 3969/j. issn. 1672-2566. 2017.10.027.
[18]张秋红.2015-2016年某院住院患者死亡病例分析[J].中国医院统计,2017,24(6):479-480. DOI:10.3969/j.issn.1006-5253.2017.06.029.
[19]李利伟,衣淑娟,姜巧巧.某综合医院2013-2016年住院死亡病例分析[J].现代医药卫生,2018,34(1):25-26.DOI:10.3969/j.issn.1009-5519.2018.01.008.
[20]周晓丽.当前我国社区老年慢性病管理研究中的问题与思考[J].社区医学杂志,2017,15(17):80-81.