COVID-19流行期间基于信息系统上报的27455名发热就诊病例资料分析  

Analysis of 27455 outpatients in fever clinics based on information system data during COVID-19 epidemic in Jinan

作　　者：刘晓雪[1] 李帅[1] 杨丽[1] 刘翀 宋凯军[1] 李传彬[1] 乔宇 LIU Xiao-xue;LI Shuai;YANG Li;LIU Chong;SONG Kai-jun;LI Chuan-bin;QIAO Yu(Jinan Center for Disease Control and Prevention,Jinan,Shandong 250021,China;不详)

机构地区：[1]济南市疾病预防控制中心,山东济南250021 [2]济南市卫生健康信息中心,山东济南250002

出　　处：《现代预防医学》2020年第18期3413-3417,共5页Modern Preventive Medicine

摘　　要：目的分析COVID-19流行期间,济南市发热门诊重点对象健康管理系统报告的发热就诊病例的流行病学特征,为疾病预防与控制提供参考。方法对济南市发热门诊重点对象健康管理系统报告的27 455发热门诊就诊病例的流行病学、临床表现、来院/离院方式、流向等资料进行描述分析。结果自2月5日系统创建启用至3月5日,共报告27 455发热就诊人次,男女性别比1.25∶1。年龄中位数29岁,其中1岁儿童最多,以5岁以内、20~39岁人群居多。来院、离院方式均以非公共交通工具为主,其中自驾占来院方式60.46%,离院49.33%。就诊者以发热为主诉占74.09%。重复就诊病例2 422人,占发热就诊总病例数的8.82%。男性重复就诊比例高于女性,重复就诊者年龄中位数高于非重复就诊者。是否重复就诊患者的最终流向分布也不同(P<0.05)。发热就诊病例中发现常见法定报告传染病76例,COVID-19病例11例。结论 COVID-19流行期间建立的发热门诊重点对象健康管理系统报告的发热就诊病例以儿童、中青年居多,来院/离院方式以非公共交通工具为主。该系统对包含COVID-19在内的以发热、咳嗽为主诉的呼吸道传染病预警具有一定价值。Objective To analyze the epidemiology of fever outpatients reported through information system in Jinan during COVID-19 epidemic,and provide theoretical references for diseases control and prevention.Methods Descriptive analysis of the epidemiology,clinical manifestations,ways of coming/leaving hospital,flow direction and repeat visiting status of all fever outpatients.Results 27455 fever patients were reported since 5th Feb to 5th Mar.The median age is 29 years old,and the most were children 1 years old,and the next were people between 20 to 39 years old.During the COVID-19 epidemic,non-public transportation were the main ways for patients coming to and leaving hospitals,and self-driving accounted for 60.46%in patients coming to hospital and 49.33%in patients leaving hospital.The main claimed symptoms were fever which accounted for 74.09%.The types of fevers are different in different age groups,and the proportion of children with high fever under the age of 10 years old is relatively large.There were 2422 cases with repeated visits,accounting for 8.82%of the total.The proportion of repeated visits in males was higher than that in females,the median age of repeated visits was higher than that of non-repeated visits,and the final flow distribution of patients with or without repeated visits was also different,with statistically significant differences(P<0.05).76 common notifiable infectious diseases and 11 COVID-19 cases were detected through this system.Conclusion The majority of fever cases were children,middle-aged and young people,and the majority visit was by non-public transport.The monitoring of fever outpatient data based on information system during COVID-19 epidemic is of established value for the early warning of respiratory infectious diseases with fever and cough as chief complaints.

关 键 词：信息系统 发热门诊 流行病学 COVID-19 

分 类 号：R181.3[医药卫生—流行病学]