2013—2020年山西某三甲医院住院死亡病例分析  

Analysis of inpatient deaths in a tertiary first-class hospital in Shanxi from 2013 to 2020

作　　者：刘晓红 陈芳 刘登宇 曲磊 遆刚 Liu Xiaohong;Chen Fang;Liu Dengyu;Qu Lei;Ti Gang(Department of Medical Record Management,Shanxi Bethune Hospital,Shanxi Academy of Medical Sciences,Tongji Shanxi Hospital,the Third Hospital of Shanxi Medical University,Taiyuan 030032,China;不详)

机构地区：[1]山西白求恩医院(山西医学科学院同济山西医院)山西医科大学第三医院病案管理科,太原030032 [2]山西省科技情报与战略研究中心

出　　处：《山西医药杂志》2023年第8期580-584,共5页Shanxi Medical Journal

摘　　要：目的了解2013—2020年某三甲医院住院死亡病例特征及死因构成,为医院行政部门制定疾病防治措施提供参考,从而提升医院疾病救治水平。方法收集该三甲医院2013—2020年住院死亡患者病案信息,按照国际疾病分类(ICD)-10对疾病进行分类,分析死亡患者的年龄、性别、疾病等情况。结果2013—2020年出院患者共441116例次,去除重复住院,有住院患者348822例;其中,死亡人数2113例,病死率为0.61%;从2013—2020年,出院人数逐年增长,死亡率逐年下降(χ^(2)=16.77,P=0.019);死亡患者中,男性1370例、女性743例,男女比例1.84∶1;年龄最小为出生仅1 d的患者,最大年龄为102岁,平均年龄为(69±17)岁;随着年龄的增长,各疾病组病死率逐年升高,80岁以上患者病死率最高;排名前5位的疾病分别是肿瘤(48.4%)、呼吸系统疾病(17.1%)、循环系统疾病(16.1%)、消化系统疾病(4.5%)、泌尿生殖系统疾病(3.5%),占全部死亡患者的89.6%;男性和女性死因前2位的疾病相同,均为支气管和肺恶性肿瘤及肺炎(病原体未特指)。结论应根据各年龄段特点给予相应的治疗措施,且应该加强肿瘤、呼吸系统疾病、循环系统疾病、消化系统疾病、泌尿系统疾病的防治,降低病死率,提高生命生活质量。Objective To understand the characteristics and causes of death in a tertiary hospital from 2013 to 2020 deaths,and provide references for the hospital administrative department to formulate disease prevention measures,thereby improving the hospital′s disease treatment level.Methods The medical records of the dead inpatients in the tertiary first-class hospital from 2013 to 2020 were collected,the diseases were classified according to the International Classification of Diseases,tenth revision(ICD-10),and the age,sex and disease conditions of the dead patients were analyzed.Results From 2013 to 2020,there were 441116 discharged patients,excluding repeated hospitalization,with 348822 hospitalized patients.Among them,there were 2113 deaths and the case fatality rate was 0.61%.From 2013 to 2020,the number of discharged patients increased year by year,and the fatality rate decreased year by year(χ^(2)=16.77,P=0.019).Among the deaths,there were 1370 males and 743 females,with a male-to-female ratio of 1.84∶1.The youngest was one day old,the oldest was 102 years old,and the average age was(69±17)years old.With the increase of age,the mortality of each disease group increased year by year,and the mortality of patients over 80 years old was the highest.The top five diseases were tumors(48.4%),respiratory diseases(17.1%),circulatory diseases(16.1%),digestive diseases(4.5%)and genitourinary diseases(3.5%),accounting for 89.6%of all deaths.The first two causes of death in men and women were the same,both bronchial and lung malignant tumors and pneumonia(not specified by pathogens).Conclusion The corresponding treatment measures should be given according to the characteristics of each age group,and the prevention and treatment of tumors,respiratory system diseases,circulatory system diseases,digestive system diseases,and urinary system diseases should be strengthened,so as to reduce the fatality rate and improve the quality of life.

关 键 词：医院死亡率 流行病学特征 病死率 

分 类 号：R197.323[医药卫生—卫生事业管理]