广州某三甲医院2013—2019年住院死亡病例统计分析  

Analysis on the hospitalized death cases in a tertiary hospital in Guangzhou from 2013 to 2019

作　　者：刘俊[1] 刘红[1] 黄娜萍 邬小凤 方丹丹 王正 陈思尹 赵云龙 Liu Jun;Liu Hong;Huang Naping;Wu Xiaofeng;Fang Dandan;Wang Zheng;Chen Siyin;Zhao Yunlong(The Sixth Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510655, China)

机构地区：[1]中山大学附属第六医院,广东广州510655

出　　处：《中国医院统计》2020年第5期424-429,共6页Chinese Journal of Hospital Statistics

摘　　要：目的通过分析某院2013—2019年死亡病人的年龄、性别、死亡原因等构成情况,为医疗资源分配和疾病预防提供依据。方法调取某院2013—2019年死亡病人的住院病案首页信息,死亡原因采用主要诊断编码进行分析。结果2013—2019年共死亡病人1478人,平均病死率为0.43%,呈逐年下降趋势。男性患者病死率(0.46%)高于女性患者(0.39%)。死因顺位前5位依次是:肿瘤(40.12%)、呼吸系统疾病(21.58%)、循环系统疾病(17.25%)、消化系统疾病(7.71%)、损伤中毒和外因的其他后果(3.18%)。不同年龄段的死因顺位差异较大。≤30岁人群,除肿瘤外,起源于围生期的疾病占比最大,多为新生儿(32.39%);31~80岁人群,肿瘤占比最大;80岁以上人群,呼吸系统疾病占比最大。结论应关注新生儿的疾病救治,关注男性健康,加强肿瘤、呼吸系统疾病、循环系统疾病、消化系统疾病等慢性非传染性疾病的预防控制。Objective To analyze the age,gender and cause of death of died patients in a hospital from 2013 to 2019,so as to provide evidence for medical resource allocation and disease prevention.Methods The first page data of hospitalized medical records from 2013 to 2019 in the hospital were retrieved,and the main diagnostic codes were used to analyze the cause of death.Results From 2013 to 2019,1478 patients died and the average mortality rate was 0.43%,declining year by year.The mortality rate of male patients(0.46%)was higher than that of female patients(0.39%).The top five causes of death were tumor(40.12%),respiratory system disease(21.58%),circulatory system disease(17.25%),digestive system disease(7.71%),injury poisoning and other consequences of external causes(3.18%).The causes of death in different age groups were different.In patients of 30 years old and below,except for tumors,the proportion of perinatal diseases was the largest,most of which were newborns(32.39%).In patients of 31-80 years old,the proportion of tumors was the largest.In patients of over 80 years old,the proportion of respiratory diseases was the largest.Conclusion We should pay more attention to the treatment of newborn diseases,male health,and strengthen the prevention and control of the chronic non-infectious diseases such as tumor,or diseases of respiratory system,circulatory system and digestive system.

关 键 词：广州 三甲医院 住院患者 死因分析 病死率 

分 类 号：R195.4[医药卫生—卫生统计学]