2017—2019年宁波市二级以上医疗机构老年住院患者疾病构成分析  

Analysis on the disease composition of elderly inpatients in secondary and above medical institutions in Ningbo from 2017 to 2019

作　　者：张启华[1] 刘继巍 罗胜兰 杨永传 Zhang Qihua;Liu Jiwei;Luo Shenglan;Yang Yongchuan(Medical Record Statistics Room, Li Huili Hospital, Ningbo Medical Center, Ningbo 315001, China;Ningbo Health Information Center, Ningbo 315001, China)

机构地区：[1]宁波市医疗中心李惠利医院病案统计室,浙江宁波315001 [2]宁波市卫生信息中心,浙江宁波315001

出　　处：《中国医院统计》2021年第4期329-333,338,共6页Chinese Journal of Hospital Statistics

基　　金：宁波市科技局软科学项目(2018A10055)。

摘　　要：目的了解老年住院患者疾病构成情况,为老年疾病防治和康复工作提供依据。方法从“浙江卫生健康信息网络直报系统”获得宁波市二级以上医疗机构2017—2019年老年(≥60周岁)住院病案首页信息,包括性别、年龄、出院时间、主要诊断及国际疾病分类编码ICD-10等,按ICD-10对患者主要诊断进行分类汇总,采用Excel对数据进行统计分析。结果宁波市二级以上医疗机构2017—2019年老年住院患者共计1146121人次,住院人次逐年递增,男性多于女性(1.23∶1);前5位出院疾病系统分类依次为循环系统疾病、影响健康状态和与保健机构接触的因素、呼吸系统疾病、消化系统疾病和肿瘤,占全部老年出院患者的61.88%;不同年龄组疾病分类构成及顺位不同,差异有统计学意义(χ^(2)=69948.412,P<0.001)。结论不同年份、性别和年龄分组间疾病系统分类存在差异,医院的决策者应优化医疗资源配置,重视老年人群就医服务质量。Objective To understand the disease composition of elderly inpatients and provide basis for the prevention and rehabilitation of elderly diseases.Methods From the"Zhejiang Health Information Network Direct Report System",the first page information of inpatient medical records of elderly people(≥60 years old)in secondary and above medical institutions in Ningbo from 2017 to 2019 was obtained,including gender,age,discharge time,main diagnosis and the international disease classification coding,etc.,and the main diagnosis of patients was classified and summarized according to ICD-10.Excel was used for statistical analysis of the data.Results There were totally 1146121 elderly people in secondary and above medical institutions in Ningbo from 2017 to 2019,and inpatients increased year by year.The male population was more than the female population(1.23∶1).The top 5 discharge diseases were circulatory system diseases,factors affecting health status and contact with health care institutions,respiratory system diseases,digestive system diseases and tumors,accounting for 61.88%of all elderly discharged patients.The composition and order of disease classification were different in different age groups,and the difference waw statistically significant(χ^(2)=69948.412,P<0.001).Conclusion There were differences in disease classification among different years,gender and age groups.Therefore,hospital decision-makers should optimize the allocation of medical resources,and pay attention to the quality of medical services for the elderly population.

关 键 词：老年人群 住院患者 疾病构成 

分 类 号：R195.4[医药卫生—卫生统计学]