某三甲医院死亡病例死因构成与患者年龄性别关系分析  

Analysis of the Relationship Between the Composition of Death Cases and the Age and Gender of Patients in a Tertiary Hospital

作　　者：陈泽钦 陈晓玉 刘琛玺 吴樱文 贺美林 李富强 Chen Zeqin;Chen Xiaoyu;Liu Chenxi;Wu Yingwen;He Meilin;Li Fuqiang(Southern Theater General Hospital,Guangzhou,Guangdong Province,510000,China;不详)

机构地区：[1]南部战区总医院,广东省广州市510000

出　　处：《中国病案》2023年第11期73-76,共4页Chinese Medical Record

摘　　要：目的通过对某三甲医院死亡病例死因构成及特点进行分析,了解医院死亡疾病谱及变化趋势,为制定医疗及护理策略提供参考依据。方法收集某医院2010年1月1日-2019年12月31日4390例死亡病例,对患者年龄、性别、根本死因进行分析,利用excel 2010、SQL、SPSS26进行数据采集、统计分析。结果医院10年内总病死率为1.25%,病死率随时间呈下降趋势,男性患者病死率(1.57%)高于女性(0.80%),肿瘤和循环系统疾病在死因疾病谱中占比最高,合计高达59.29%,各年龄段死亡占比较多的分别是19岁以下多为先天性疾病,20岁~39岁多为外因,40岁~79岁多为肿瘤和循环系统疾病,70岁以上肿瘤和循环系统疾病与呼吸系统疾病病死率占比最高。结论肿瘤和循环系统疾病在死亡疾病谱中占比最高,建议联合社区加强疾病早期的筛查,医院应根据年龄、性别差异合理优化资源配置。Objectives This study aims to understand the hospital's death disease spectrum and changing trends by analyzing the composition and characteristics of death cases in a tertiary hospital,so as to provide a reference for formulating medical and nursing strategies.Methods 4390 patients who died in a hospital from January 1,2010 to December 31,2019 were collected and analyzed in terms of age,sex,and underlying cause of death.Excel 2010,SQL,and SPSS26 were used for data collection and statistical analysis.Results The total case fatality rate of the hospital within 10 years was 1.25%,and the case fatality rate tended to decrease over time.The mortality rate of male patients(1.57%)was higher than that of female patients(0.80%).Tumors and circulatory diseases accounted for the highest proportion in the spectrum of death causes,with a total of 59.29%.The proportion of deaths in each age group was mostly congenital diseases under the age of 19,external causes in the age of 20 to 39,tumor and circulatory system diseases in the age of 40 to 79,tumors and circulatory system diseases in the age of 70 and above respiratory diseases accounted for the highest mortality rate.Conclusions Cancer and cardiovascular disease account for the highest proportion of deaths in the disease spectrum.It is recommended that early screening of diseases be strengthened in the united community.Hospitals should rationally optimize resource allocation according to age and gender differences.

关 键 词：病死率 死因 住院患者 

分 类 号：R197.3[医药卫生—卫生事业管理]