某医院2006年-2015年住院死亡病例分析  

Analysis on Cases of Death in a Hospital from 2006 to 2015

作　　者：周玲玲[1] 黄昊[1] 姬晓波[1] 吴东东[1] 祁薇[1] 曾凡[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所信息资料科,重庆市400042

出　　处：《中国病案》2016年第6期59-61,共3页Chinese Medical Record

摘　　要：目的分析住院死亡病例构成特点,为有关部门制定卫生保健措施和合理配置医疗资源提供科学依据。方法采用SAS9.2软件对2006年-2015年住院死亡病例数据信息进行回顾性统计分析。结果总住院死亡率为0.65%,10年间无随年度增加而降低的趋势（r=-0.19,P=0.59）。男性死亡率（0.85%）高于女性（0.45%）,差异有统计学意义（χ2=470.75,P〈0.05）。死亡年龄主要集中在60~岁组（58.47%）。前5位死因为肿瘤（46.08%）、循环系统疾病（23.46%）、呼吸系统疾病（7.92%）、消化系统疾病（5.21%）、损伤中毒和外因的某些后果（4.66%）。肿瘤死因构成中,前2位为消化器官肿瘤（34.96%）、呼吸和胸腔内器官肿瘤（34.62%）。结论医院应密切关注患者性别、年龄以及死亡高发疾病,有针对性地采取相应措施,提高医疗质量,降低死亡率。Objective To analyze the composing characteristics of death cases for helping the relevant departments to make the health care measures and allocate reasonably the medical resources. Methods Death cases from 2006 to 2015 year were analyzed retrospectively by using the SAS9.2 software. Results The total in-hospital mortality rate was 0.65%, which didn＇t decrease with the increasing of annual year（r=-0.19, P = 0.59） during 10 years. The male mortality rate（0.85%） was significantly higher than that in female（0.45%）（χ2=470.75, P〈0.05）. The age of death was mainly concentrated in over 60 years old（58.47%）. The top five causes of death were tumor（46.08%）, circulatory system diseases（23.46%）, respiratory system diseases（7.92%）, digestive system diseases（5.21%）, injury and poisoning and certain consequences of external causes（4.66%）, respectively.The top two death causes of tumor were digestive organ tumor（34.96%） and respiratory and intrathoracic tumor（34.62%）, respectively. Conclusions We must pay close attention to the sex and age of patients and the high death causes, so as to take appropriate measures to improve the medical quality and reduce the mortality rate.

关 键 词：死亡病例 死因构成 死因顺位 

分 类 号：R197.323[医药卫生—卫生事业管理]