某三甲综合型医院5年住院患者死亡病例的统计分析  

Statistical Analysis of Death Cases of Inpatients in Five Years in a Three A and Tertiary Comprehensive Hospital

作　　者：麻玉秀[1] 鲍玉荣[1] 代伟[1] Ma Yuxiu;Bao Yurong;Dai Wei(The second medical center of PLA General Hospital,Beijing 100853,China;不详)

机构地区：[1]解放军总医院第二医学中心,北京市100853

出　　处：《中国病案》2021年第11期57-59,共3页Chinese Medical Record

基　　金：解放军总医院医疗保健专项课题(ZXBJ2006)。

摘　　要：目的对北京某三甲综合型医院近5年死亡病例进行回顾性分析,为提高医疗服务质量、优化疾病诊治、降低病死率提供科学依据。方法利用医院HIS系统,收集整理2016年1月1日-2020年12月31日住院信息,对2870例住院期间死亡患者的病例资料进行统计分析。结果住院患者总人数520 298例,死亡患者2870例,病死率为0.55%。男性患者死亡率(0.66%)高于女性(0.42%),差异有统计学意义(P<0.01);不同年龄段患者病死率差异有统计学意义(P<0.0001)。2020年收治患者病死率最高(0.77%)。死亡患者前5位系统分别是肿瘤、循环系统、呼吸系统、某些传染病和寄生虫病、消化系统,而在肿瘤致死的患者中,消化系统肿瘤位居榜首。结论医院5年住院患者病死率较低,老年人是死亡高危人群,恶性肿瘤位居死因首位。在日常医疗工作中应根据患者性别、年龄、死亡高发病种及科室分布特点,科学合理安排医疗资源,降低病死率。Objective Tos analyze the death cases in a Three A and Tertiary Comprehensive Hospital in Beijing from 2016 to 2020 in five years, to understand the basic situation, main causes of death, gender, age distribution,cost and other relevant information, so as to provide a scientific basis for improving the quality of medical services,optimizing the diagnosis and treatment of diseases, and reducing the mortality rate of patients. Methods Using the system of the hospital, the total number of inpatients in hospital in Beijing from 2016 to 2020 was collected and sorted. Excel 2010 and SPSS 19.0 software were used to conduct statistical analysis on the case data of 2870 patients who died during hospitalization. Results In five years, the total number of inpatients was 520,298, and 2,870 patients died, with a case fatality rate of 0.55%. The mortality of male patients(0.66%) was higher than that of female patients(0.42%), and the difference was statistically significant(χ;=127.957,P<0.01). There was statistical significance in the case fatality rate among patients of different ages(χ;=14200.58, P<0.01).Compared with other years, the mortality rate of patients admitted in 2020 was the highest(0.77%). The top 5 death system of the patients who died were tumor system, circulatory system, respiratory system, some infectious diseases and parasitic system and digestive system, while among the patients who died from tumor, digestive system tumor ranked first. Conclusions The fatality rate of inpatients was low in our hospital in 5 years, and the elderly was a high-risk group of death. Cancer was the leading cause of death. In daily medical work, we should arrange medical resources scientifically and reasonably according to patients’ gender, age, high-risk distribution characteristics of departments, so as to reduce the mortality rate.

关 键 词：死亡病例 病死率 死因分析 年龄分布 

分 类 号：R197.323[医药卫生—卫生事业管理]