[1]杨海琴.重庆市某三甲医院2016-2020年住院死亡病例分析[J].医学信息,2022,35(14):33-36.[doi:10.3969/j.issn.1006-1959.2022.14.006]
　YANG Hai-qin.Analysis of Hospitalized Death Cases in a Tertiary Hospital in Chongqing from 2016 to 2020[J].Medical Information,2022,35(14):33-36.[doi:10.3969/j.issn.1006-1959.2022.14.006]
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重庆市某三甲医院2016-2020年住院死亡病例分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年14期
页码:
33-36
栏目:
公共卫生信息学
出版日期:
2022-07-15

文章信息/Info

Title:
Analysis of Hospitalized Death Cases in a Tertiary Hospital in Chongqing from 2016 to 2020
文章编号:
1006-1959（2022）14-0033-04
作者:
杨海琴
（重庆市急救医疗中心/重庆市第四人民医院病案统计科，重庆 400014）
Author(s):
YANG Hai-qin
(Department of Medical Record Statistics,Chongqing Emergency Medical Center/Chongqing Fourth People’s Hospital,Chongqing 400014,China)
关键词:
循环系统疾病; 肿瘤; 呼吸系统疾病
Keywords:
Circulatory system diseases; Tumor; Respiratory diseases
分类号:
R195.4
DOI:
10.3969/j.issn.1006-1959.2022.14.006
文献标志码:
A
摘要:
目的 分析重庆市某三甲医院死亡病例分布特征。方法 从重庆市某三甲医院病案首页系统中提取2016-2020年所有出院患者信息130 680份，包括基本资料、主要诊断、离院方式和出院情况，依照《疾病和有关健康问题的国际统计分类》ICD-10国家临床版2.0进行分类，并分析死亡患者在各年份、性别、年龄、季节分布情况以及死亡疾病谱。结果 最终确定死亡患者3310例，死亡率为2.53%，各年度死亡率比较，差异无统计学意义（P＞0.05）；不同性别、年龄组、季节间死亡率比较，差异有统计学意义（P＜0.05），其中男性死亡率高于女性，以80~90年龄组死亡率最高，且随着春夏秋冬各季节的变动，死亡率逐渐增加。该院死因前3位是循环系统疾病、肿瘤和呼吸系统疾病，其中循环系统前5位死因为脑内出血、脑梗死、急性心肌梗死、慢性缺血性心脏病和心脏停搏；肿瘤前5位死因为肺癌、结肠癌、肝癌、胃癌和食管癌；呼吸系统前5位死因为肺炎、慢性阻塞性肺病、其它呼吸性疾患、呼吸衰竭和支气管扩张。结论 男性、80~90年龄组患者死亡率较高，应重点关注这两类人群，另外应加强循环系统疾病、肿瘤和呼吸系统疾病相关科室的重点学科建设，提升技术水平，降低该院患者死亡率。
Abstract:
Objective To analyze the distribution characteristics of death cases in a tertiary hospital in Chongqing.Methods A total of 130 680 information of all discharged patients from 2016 to 2020 were extracted from the medical record homepage system of a top three hospital in Chongqing, including basic data, main diagnosis, way of leaving hospital and discharge situation. The classification was carried out according to " The International Statistical Classification of Diseases and Related Health Problem " ICD-10 national clinical version 2.0, and the distribution of death patients in each year, gender, age, seasonal distribution and death disease spectrum were analyzed.Results Finally, 3310 patients were determined to be dead, and the mortality rate was 2.53%. There was no significant difference in mortality between different years (P>0.05). There was significant difference in mortality between different genders, age groups and seasons (P<0.05). The mortality rate of males was higher than that of females, and the mortality rate of 80-90 age groups was the highest. With the changes of spring, summer, autumn and winter, the mortality rate increased gradually. The top three causes of death in our hospital were circulatory system diseases, tumors and respiratory diseases. The top five causes of death in circulatory system were intracerebral hemorrhage, cerebral infarction, acute myocardial infarction, chronic ischemic heart disease and cardiac arrest. The top five causes of death were lung cancer, colon cancer, liver cancer, gastric cancer and esophageal cancer. The top five respiratory deaths were caused by pneumonia, chronic obstructive pulmonary disease, other respiratory diseases, respiratory failure and bronchiectasis.Conclusion The mortality rates of male and 80-90 age groups are relatively high, attention should be paid to these two groups. In addition, the construction of key disciplines in departments related to circulatory system diseases, tumors and respiratory diseases should be strengthened to improve the technical level and reduce the mortality rate of patients in our hospital.

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