山东省某地市级三甲医院成人内科急诊流行病学分析  

Epidemiological analysis of the emergency department of adult internal medicine in a prefecture-level tertiary hospital in Shandong

作　　者：栾春业[1] 郭立莎[1] 张冰[1] 苏朋涛 李伟华[1] 张金英[1] Luan Chunye;Guo Lisha;Zhang Bing;Su Pengtao;Li Weihua;Zhang Jinying(Emergency Department,Binzhou Medical University Hospital,Binzhou 256603,China)

机构地区：[1]滨州医学院附属医院急诊科,山东滨州256603

出　　处：《中国医院统计》2022年第4期266-269,共4页Chinese Journal of Hospital Statistics

摘　　要：目的分析山东省某地市级三甲医院成人内科急诊患者的流行病学特点,发现就诊规律及临床特点,为明确急诊救治重点、优化急诊流程提供数据支持。方法通过山东某地市级三甲医院分诊信息系统调取2019年1月至12月急诊科就诊预检分诊患者的临床资料,包括性别、年龄、预检分诊级别、诊断、就诊时间等信息,进行回顾性分析。结果急诊科全年共接诊28428名成人内科患者,性别比为0.937∶1;就诊患者中30~岁人群最多(25.38%),45~岁组占23.36%;60~74岁组占23.77%。全天就诊高峰在19:00—19:59(占接诊量36.67%),具有明显的昼夜节律。就诊患者中预检分诊级别以4级亚急症或非急症为主。成人患者中随年龄增长,1级急危患者和2级急重患者比例升高。神经系统疾病、消化系统疾病、循环系统疾病、呼吸系统疾病是成人内科急诊的主要疾病谱。结论急诊具有明显的昼夜节律及疾病谱特点,应加强夜间急诊人员安排,加强主要疾病诊疗规范培训和学习,提高救治效率,保障患者就医安全。Objective To analyze the epidemiological characteristics and disease spectrum of adult emergency patients in a prefecture-level tertiary hospital in Shandong Province,find out the regularity and clinical characteristics of medical treatment,and provide data support for clarifying the priorities of emergency treatment and optimizing emergency procedures.Methods Clinical data of pre-triage patients in the emergency department from January to December 2019 including gender,age,pre-triage grade,diagnosis,visit time and other information were collected from the triage information system of a tertiary hospital in Shandong Province for retrospective analysis.Results Totally 28428 adult internal medicine patients were admitted to the emergency department throughout the year,with a male to female ratio of 0.937∶1;the 30-year-old group accounted for the most(25.38%),the 45-year-old group accounted for 23.36%,and the 60-74-year-old group accounted for 23.77%.The peak of all-day visits was from 19:00 to 19:59(accounting for 36.67%of the total number of visits),with a clear circadian rhythm.The pre-examination and triage levels of the patients were mainly grade 4 sub-acute or non-acute.In adult patients,the proportion of patients with grade 1 acute and grade 2 acute increased with age.Nervous system,digestive system,circulatory system,and respiratory system diseases were the main disease spectrum of adult medical emergency.Conclusion The emergency treatment has obvious circadian rhythm and disease spectrum characteristics.It is necessary to strengthen the arrangement of emergency personnel at night,strengthen the training and learning of the diagnosis and treatment of major diseases,improve the efficiency of treatment,and ensure the safety of patients in seeking medical treatment.

关 键 词：地市级三甲医院 成人内科 急诊 流行病学 

分 类 号：R195.4[医药卫生—卫生统计学]