2020年上海市宝山区院前急救死亡分析研究  

Analysis of pre-hospital emergency death in Baoshan District of Shanghai in 2020

作　　者：陈云峰 凌云 CHEN Yunfeng;LING Yun(Department of General Practice,Gaojing Town Community Health Service Center,Baoshan District,Shanghai 200435,China;Department of Emergency,Shanghai Baoshan Hospital of Integrated traditional Chinese and Western Medicine,Shanghai 201999,China)

机构地区：[1]上海市高境镇社区卫生服务中心全科,上海200435 [2]上海市宝山区中西医院急诊科,上海201999

出　　处：《现代医药卫生》2022年第8期1290-1294,共5页Journal of Modern Medicine & Health

摘　　要：目的分析2020年上海市宝山区医疗急救中心院前急救死亡信息,初步了解现状并分析可能的影响因素,为社区医疗工作的开展提供参考。方法选取死亡时间为2020年1月1日至12月31日上海市宝山区医疗急救中心行院前急救无效死亡者共1093例作为调查组,机械随机抽样选取同年度宝山区医院内死亡者共1093例作为对照组;描述性分析其基本信息、死亡诊断、合并疾病等信息,年龄比较采用秩和检验,并以是否院前急救死亡为因变量,不同人群特征为自变量,进行单因素χ^(2)及多因素logistic回归分析。结果2020年上海市宝山医疗急救中心处置院前急救死亡患者共1093例,平均年龄(78.43±13.53)岁;调查组前3位死因为死因不明确、恶性肿瘤、各类外伤,对照组前三位死因为恶性肿瘤,呼吸系统疾病、猝死;调查组与对照组的婚姻情况、文化程度、合并慢性疾病数量比较,差异均有统计学意义(P<0.05);60岁以下、合并1种及以上慢性疾病者相对发生院前急救死亡的概率更高。结论院前急救死亡与合并慢性疾病存在一定联系,应加强高危人群的健康宣教、疾病筛查及社区随访。Objective To analyze the death information of pre-hospital emergency in Baoshan District of Shanghai in 2020,to understand the current situation and analyze the possible influencing factors,so as to provide reference for the development of community medical work.Methods A total of 1093 patients who died after pre-hospital emergency treatment during the period from January 1,2020 to December 31,2020 in Shanghai Baoshan medical emergency center were selected as the investigation group,and 1093 patients who died in Baoshan hospital in the same year were randomly selected as the control group.Descriptive analysis was used to analyze the basic information,death diagnosis,comorbid diseases and other information,and rank sum test was used to conduct age comparison.The single-factor chi-square and multi-factor logistic regression analysis were carried out with the death of pre-hospital emergency as the dependent variable and the characteristics of different groups as the independent variable.Results In 2020,1093 patients died in pre-hospital emergency treatment in Shanghai Baoshan medical emergency center,with an average age of(78.43±13.53)years old.The top three causes of death in the investigation group were unclear,malignant tumor and various kinds of trauma,while the top three causes of death in the control group were malignant tumor,respiratory disease and sudden death.There were significant differences in marital status,educational level and number of chronic diseases between the two groups(P<0.05).Patients under 60 years old and with one or more chronic diseases were more likely to have pre-hospital emergency death.Conclusion There is a certain relationship between pre-hospital emergency death and chronic diseases,so health education,disease screening and community follow-up of high-risk residents should be strengthened.

关 键 词：院前急救 死亡诊断 影响因素 合并疾病 社区卫生工作 

分 类 号：R459[医药卫生—治疗学]