2018年-2022年某三甲医院死亡病例分析  

Analysis of Death Cases in a Three A and Tertiary Hospital from 2018 to 2022

作　　者：张盼盼 陈磊 高波 Chen Lei;Gao Bo;Zhang Panpan(Taihe Hospital Affiliated Anhui College of Traditional Chinese Medicine,Taihe 236607,Anhui Province,China;不详)

机构地区：[1]安徽中医药大学附属太和中医院,安徽省太和县236607

出　　处：《中国病案》2024年第10期20-23,共4页Chinese Medical Record

摘　　要：目的通过死亡病例构成分析,思考如何改善医院的医疗质量与安全,为医院管理提供相应的建议。方法对某院2018年1月1日至2022年12月31日出院的622例死亡病例进行回顾性分析。采用EXCEL2010和SPSS26.0描述性分析死亡病例的性别、年龄、入院途径、住院季节和死因构成。结果去除重复入院患者后,累积纳入住院患者306978例,其中死亡患者622例,全院整体病死率为0.20%。男性病死率是女性的1.92倍;65~84岁患者病死率最高(50.96%),其次是25~64岁(27.17%),≥85岁(19.45%);急诊入院患者病死率是非急诊入院的1.53倍;秋冬季节住院患者病死率高于春夏季节。住院死亡患者前三位死因分别为循环系统疾病(47.75%)、呼吸系统疾病(16.72%)和肿瘤(9.32%);从整体上看,前三位死因病死率男性均高于女性;前三位死因≥85岁患者病死率最高;急诊途径住院患者循环系统疾病和呼吸系统疾病病死率均高于非急诊途径住院患者(P<0.001)。结论医院应加强男性、85岁以上、急诊入院、循环系统疾病、呼吸系统疾病和肿瘤患者的医疗救治工作,同时持续提高急诊急救专科能力。Objectives By analyzing the composition of death cases,consider how to improve the medical quality and safety of hospitals,and provide corresponding suggestions for hospital management.Methods A retrospective analysis of 622 death cases from January 1st,2018 to December 31st,2022 was carried out.Excel 2010 and SPSS 26.0 were used to analyze the sex,age,admission route,season and disease distribution of the dead cases.Results After eliminating repeated admissions,306978 inpatients were included,among which 622 died,the overall case fatality rate is 0.20%.The case fatality rate of male inpatients was 1.92 times that of female inpatients,and the case fatality rate of 65-year-old inpatients was the highest(50.96%),followed by 25-year-old inpatients(27.17%)and≥85-year-old inpatients(19.45%).The case fatality rate of death in emergency patients was 1.53 times higher than that in non-emergency patients,and the case fatality rate of death in autumn and winter was higher than that in spring and summer.The first three diseases were cardiovascular disease(47.75%),respiratory disease(16.72%)and tumor(9.32%),Overall,the mortality rates of the top three causes of death in males were higher than those in females;The top three causes of death in patients aged 85 had the highest mortality rate;The mortality rates of patients with circulatory and respiratory diseases admitted through emergency routes were higher than those admitted through non-emergency routes(P<0.001).Conclusions Hospitals should strengthen the medical treatment of male patients,those over 85 years old,admitted to emergency departments,patients with circulatory system diseases,respiratory system diseases,and tumors,while continuously improving their emergency and emergency specialized capabilities.

关 键 词：死亡病例 分布特征 死因构成 

分 类 号：R197.323[医药卫生—卫生事业管理]