2014-2018年福建省某三甲医院急诊死亡病例流行病学分析  

Epidemiological analysis of death cases in a grade 3A hospital in Fujian,2014-2018

作　　者：郑玲玲[1] 念欲霞[1] ZHENG Ling-ling;NIAN Yu-xia(Department of Prevention and Health Care,Fujian Medical University Union Hospital,Fuzhou,Fujian 350001,China)

机构地区：[1]福建医科大学附属协和医院预防保健科

出　　处：《现代预防医学》2019年第21期3856-3858,3869,共4页Modern Preventive Medicine

摘　　要：目的分析福建医科大学附属协和医院急诊科死亡病例的流行病学特征,为提高危重病人抢救成功率、优化院内医疗资源配置、提高医疗质量提供依据。方法采用描述流行病学方法,回顾分析2014-2018年该院死因监测网络的报告资料。结果2014-2018年急诊死亡病例305例,急诊科患者死亡主要原因分别为循环系统疾病(86人,28.2%)、肿瘤(79人,25.9%)、损伤中毒和外伤所致(42人,13.8%)、呼吸系统疾病(34人,11.1%);性别分布上男性(206人,67.5%)均多于女性(99人,32.5%);年龄分布上65岁以上老年人101人,所占比例最大,为33.1%;时间分布上8月死亡人数最多(33人,10.8%),10月死亡人数最少(18人,5.9%)。结论根据急诊死亡病例的特点优化医院资源配置,强化医务人员专业知识和技能培训,普及公民院前急救知识,形成规范的急救平台,以提高该院急诊医疗质量。Objective To analyze the epidemiological characteristics of emergency deaths in the Fujian medical university union hospital,and to provide evidence of raising the rescue success rate of critically ill patients,so as to optimize medical resource allocation and improve the quality of medical care.Methods A descriptive epidemiological analysis was conducted on the basis of the data offered by the cause-of-death surveillance network during 2014 and 2018.Results There were 305 emergency death cases from 2014 to 2018.The main causes of death of emergency patients were circulatory system(86,28.2%),tumor,(79,25.9%),injury-poisoning-trauma(42,13.8%),respiratory system(34,11.1%),respectively.There were more males(206,67.5%)than females(99,32.5%)in gender distribution.In terms of age distribution,101 people over 65 years old accounted for the largest proportion(33.1%).The number of deaths in August was the highest(33,10.8%),while the number of deaths in October was the lowest(18,5.9%)according to the time distribution.Conclusion According to the characteristics of emergency death cases,it is necessary to improve the quality of emergency medical treatment and standardize the first aid platform by optimizing the allocation of hospital resources,strengthening professional knowledge and technical skills for medical personals and popularizing the first aid knowledge of citizens.

关 键 词：急诊 死亡病例 流行病学特征 

分 类 号：R181.2[医药卫生—流行病学]