某妇女儿童医院2013年-2022年住院死亡患者分析  

Analysis of In-Hospital Deaths in a Women's and Children's Hospital from 2013 to 2022

作　　者：何瑞雪[1] 苏晞[1] 朵永福[1] 邓璐莎[1] 伍捷阳[1] 王新宇 He Ruixue;Su Xi;Duo Yongfu;Deng Lusha;Wu Jieyang;Wang Xinyu(Foshan Maternal and Child Health Hospital,Foshan City 528000,Guangdong Province,China;不详)

机构地区：[1]佛山市妇幼保健院,广东省佛山市528000

出　　处：《中国病案》2024年第5期52-55,共4页Chinese Medical Record

摘　　要：目的分析某三级甲等妇女儿童医院死亡病案,为医院及当地卫生部门的重点病种防治提供依据。方法采集某院2013年1月1日-2022年12月31日出院患者的病案首页信息,利用国际疾病分类ICD-10对死亡原因分类,采用EXCEL和SPSS对死亡患者的性别、年龄、疾病种类等特征进行分析。结果医院死亡患者319人,病死率0.08%,患者病死率随年份增加呈线性下降趋势,差异有统计学意义(P<0.001)。死亡患者中5岁以下儿童占比为90.28%,0天~28天患者占比68.30%。死亡疾病谱前3位是起源于围生期的疾病(57.37%),先天性疾病(9.09%)和呼吸系统疾病(7.84%)。新生儿呼吸窘迫(19.13%)、严重的出生窒息(14.75%)和早产(10.93%)为起源于围生期疾病的具体死因。先天性膈疝和重症肺炎分别为先天性疾病和呼吸系统疾病的首要死病。病死率最高的是意外伤害类疾病,为0.58%。结论5岁以下儿童是死亡患者的主要群体,新生儿呼吸窘迫、出生窒息、早产、先天缺陷、重症肺炎等是导致儿童死亡的重点疾病。医院和当地卫生部门需加强围产期保健及相关学科建设,以及预防儿童意外伤害相关知识的宣传教育。Objectives This study aims to analyze the death cases of a tertiary women's and children's hospital to provide a basis for the prevention and treatment of key diseases for the hospital and the local health department.Methods The medical record front page information of patients discharged from a hospital from January 1,2013 to December 31,2022 was collected.The causes of death were classified using the International Classification of Diseases ICD-10.Excel and SPSS were used to analyze the gender,age,disease types,and other characteristics of the deceased patients.Results 319 patients died in the hospital,with a case fatality rate of 0.08%.The mortality rate of patients decreased linearly with the increase of years,and the difference was statistically significant(P<0.001).The proportion of children under 5 years who died was 90.28%,while children aged 0~28 days accounted for 68.34%.The top three causes of death were diseases originating in the perinatal period(57.37%),congenital diseases(9.09%),and respiratory diseases(7.84%).Neonatal respiratory distress(19.13%),severe birth asphyxia(14.75%),and prematurity(10.93%)were the specific causes of death originating from perinatal diseases.Congenital diaphragmatic hernia and severe pneumonia were the leading causes of death from congenital diseases and respiratory diseases respectively.The highest case fatality rate was accidental injury diseases,which was 0.58%.Conclusions Children under 5 years old are the main group of fatal patients.Neonatal respiratory distress,birth asphyxia,premature birth,congenital defects,severe pneumonia,etc.are the key diseases leading to child death.Hospitals and local health departments need to strengthen perinatal care and related disciplines,as well as publicity and education on knowledge about preventing accidental injuries to children.

关 键 词：疾病谱 住院患者 儿童病死率 意外伤害 

分 类 号：R197.5[医药卫生—卫生事业管理]