2017年贵阳市儿童重症监护病房死亡病例相关因素分析  

Analysis of relevant factors of death cases in pediatric intensive care units in Guiyang City in 2017

作　　者：潘婷婷 陈建丽 黄栋[3] 孙慧 Pan Tingting;Chen Jianli;Huang Dong;Sun Hui(Guizhou Medical University,Guiyang 550004,China;Guiyang Children's Hospital,Guiyang 550003,China;Guizhou Provincial People's Hospital,Guiyang 550002,China;Affiliated Hospital of Guizhou Medical University,Guiyang 550004,China)

机构地区：[1]贵州医科大学,贵阳550004 [2]贵阳市儿童医院,550003 [3]贵州省人民医院,贵阳550002 [4]贵州医科大学附属医院,贵阳550004

出　　处：《中国小儿急救医学》2022年第2期133-137,共5页Chinese Pediatric Emergency Medicine

基　　金：贵阳市科技计划项目(【20161001】48号)。

摘　　要：目的总结分析贵州医科大学附属医院、贵州省人民医院、贵阳市儿童医院三家三甲医院PICU 2017年死亡病例的流行病学特征,为制定有效降低儿童病死率的干预措施提供依据。方法回顾性收集2017年三家三甲医院PICU死亡病例的临床资料,按不同年龄、不同住院时间进行分组,对其性别、年龄、死亡时间、住院时间、死亡疾病等进行总结分析。结果2017年三家三甲医院PICU共收治患儿2092例,其中死亡139例,病死率6.64%,男84例、女55例。病死率最高的月份是1月、2月、7月和8月,病死率分别为9.14%(18/197)、9.04%(15/166)、13.25%(20/151)、7.93%(13/164),各月份收治患儿病死率差异有统计学意义(P=0.038)。死亡病例中,婴儿组(29 d~1岁)占比最大58例(41.73%),其次为学龄前组(3~7岁)37例(26.62%)、幼儿组(1~3岁)24例(17.27%)、学龄组(7~14岁)20例(14.38%)。死亡疾病前3位为:支气管肺炎(重症)39例(28.06%)、血液系统肿瘤及实体瘤28例(20.14%)、外伤23例(16.55%),其在不同年龄组的分布差异均有统计学意义(P<0.05)。按住院时间不同分为4组,其中住院时间≤1 d死亡者占比最多54例(38.85%),其次为~3 d者和~7 d者均为32例(23.02%),住院时间>7d者21例(15.11%)死亡最少。结论2017年我市PICU 1、2月份及7、8月份是死亡高峰月,婴儿期死亡人数最多,支气管肺炎(重症)、血液系统肿瘤及实体瘤、外伤位于死亡疾病的前3位。Objective The epidemiological characteristics of PICU deaths in 2017 in the Affiliated Hospital of Guizhou Medical University,Guizhou Provincial People′s Hospital,and Guiyang Children′s Hospital were summarized and analyzed to provide a basis for formulating intervention measures to effectively reduce the mortality rate of children.Methods The clinical datas of PICU deaths in three tertiary hospitals in 2017 were collected retrospectively.The cases were divided according to different ages and lengths of hospitalization.And gender,age,length of death,length of hospitalization,and death diseases were summarized and analyzed.Results In 2017,the PICU of the three tertiary hospitals admitted 2092 children,of which 139(6.64%)died,including 84 males and 55 females.The months with the highest case fatality rates were January,February,July and August.The fatality rates were 9.14%(18/197),9.04%(15/166),13.25%(20/151),7.93%(13/164),respectively.There was statistically significant difference in the mortality of children admitted in each month(P=0.038).Among the death cases,the infant group(29 days to 1 year old)accounted for the largest proportion with 58 cases(41.73%),followed by the preschool group(3 to 7 years old)with 37 cases(26.62%),the infant group(1 to 3 years old)with 24 cases(17.27%),and the school-age group(7 to 14 years old)with 20 cases(14.38%).The top three death diseases were:39 cases(28.06%)of bronchial pneumonia(severe),28 cases(20.14%)of hematological tumors and solid tumors,and 23 cases(16.55%)of trauma.The difference of its distribution in different age groups was statistically significant(P<0.05).The patients were divided into four groups according to the length of hospital stay.The time≤1 d group had the highest mortality of 54 cases(38.85%),-3 d group and-7 d group both had 32 cases(23.02%),the>7 d group had the lowest mortality of 21 cases(15.11%).Conclusion In 2017,January,February and July,August are the peak months of deaths in PICUs in Guizhou,with the highest number of infant deaths.Bronchi

关 键 词：儿童重症监护病房 流行病学特征 病死率 死亡疾病 住院时间 干预措施 

分 类 号：R197.3[医药卫生—卫生事业管理]