某三级综合医院2013-2017年住院患者死亡病例统计分析  

Statistical analysis of hospitalized death cases in a tertiary comprehensive hospital from 2013 to 2017

作　　者：刘泽龙 陈霞 Liu Zelong;Chen Xia(The People′s Hospital of Hebi, Hebi Henan 458030, China)

机构地区：[1]鹤壁市人民医院,河南鹤壁458030

出　　处：《保健医学研究与实践》2019年第2期27-30,共4页Health Medicine Research and Practice

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 to 2017 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.

关 键 词：死亡病例 死因 住院患者 统计分析 

分 类 号：R195.4[医药卫生—卫生统计学]