2017-2021年贵阳市某三甲医院住院死亡病例多维度分析  

Multidimensional analysis of inpatient death cases in a tertiary hospital in Guiyang from 2017 to 2021

作　　者：秦欣云 罗丹 Qin Xinyun;Luo Dan(Medical Statistics Department,the Affiliated Hospital of Guizhou Medical University,Guiyang 550000,China)

机构地区：[1]贵州医科大学附属医院医疗统计科,贵州贵阳550000

出　　处：《中国医院统计》2023年第2期133-138,共6页Chinese Journal of Hospital Statistics

基　　金：贵州省卫生健康委科学技术基金项目(gzwkj2022-275)。

摘　　要：目的研究住院死亡病例分布特征,为医院制定疾病预防和防治措施提供理论依据。方法收集贵阳市某三级甲等医院2017-2021年住院死亡病例病案首页信息,按照国际疾病ICD-10分类标准对主要诊断进行死因归类。采用t检验、χ2检验对死亡病例的性别、年龄段、季节、死因等因素的分布特征进行统计分析。结果该院近5年住院死亡患者4452例,总体上呈下降趋势(χ^(2)=113.45,P<0.001),男性病死率0.51%高于女性病死率0.29%;不同年龄段患者病死率差异有统计学意义(χ^(2)=6133.08,P<0.001),其中65岁以上死亡人数构成比高于其他年龄段,为60.27%;冬季死亡人数构成比为26.44%,高于其他季节;前3位死因分别为循环系统疾病(30.95%)、呼吸系统疾病(15.93%)和肿瘤(15.36%)。结论应加强针对男性及老年患者的医疗预防管理,加强对脑血管疾病等重点病种的防治工作,从而降低住院病死率。Objective To research the distribution characteristics of inpatient death cases,and to provide theoretical basis for disease prevention and treatment measures in hospitals.Methods The first page information of inpatient death records from a tertiary hospital in Guiyang from 2017 to 2021 was collected,and the cause of death was classified according to the International Classification of Diseases(ICD-10).The distribution characteristics of several factors such as sex,age,season and cause of death were statistically analyzed by T-test and chi square test.Results There were 4452 cases of inpatient death in the hospital in the past five years,which showed a decreasing trend overall(χ^(2)=113.45,P<0.001).The male mortality rate was 0.51%,higher than that of the female 0.29%.There were statistically significant differences in mortality among different age groups(χ^(2)=6133.08,P<0.001),among which the proportion of death over 65 years old was higher than that in other age groups(60.27%).The proportion of death in winter was 26.44%,higher than that in other seasons.The top three causes of death were circulatory diseases,respiratory diseases and tumors.Conclusion It is necessary to strengthen the medical prevention and management for male and elderly patients,and strengthen the prevention and treatment of key diseases such as cerebrovascular diseases,so as to reduce the mortality in hospitals.

关 键 词：住院死亡患者 性别分布 年龄段分布 季节分布 死因顺位 

分 类 号：R197.32[医药卫生—卫生事业管理]