2644例住院死亡病例分析  

Analysis of 2644 Cases of Inpatients Death

作　　者：蔡红霞 钱蒙 尹若云 杨秀娟[1] Cai Hongxia;Qian Meng;Yi Ruoyun;Yang Xiujuan(Department of Medical Quality Management,Chengdu Seventh People's Hospital,Chengdu 610213,Sichuan Province,China;不详)

机构地区：[1]成都市第七人民医院医疗质量管理部,四川省成都市610213

出　　处：《中国病案》2024年第11期57-61,共5页Chinese Medical Record

基　　金：成都医学院医院发展研究中心专项项目(YYFZ21008)。

摘　　要：目的分析住院患者死亡病例特征,为疾病防治和医院管理决策提供参考依据。方法通过医院住院病案首页信息系统提取2019年1月1日-2023年12月31日住院死亡患者病案首页2644例,根据ICD-10对主要死因进行分类,分析其性别、年龄及死因特点。结果住院患者210081人中死亡2644人,病死率1.26%。病死率呈下降变化趋势,平均年度变化百分比为-14.677%(P<0.05);男性病死率(1.55%)明显高于女性(0.96%),(χ^(2)=147.621,P<0.001),差异有统计学意义。住院患者病死率随着年龄的增加逐渐提高,在0岁~39岁处于较低水平,40岁以后病死率呈较快的增长速度,病死率最高的年龄组是90岁及以上(7.38%),不同年龄组病死率不同(χ^(2)=8896.368,P<0.001),差异有统计学意义。住院死亡患者死因顺位前3分别是恶性肿瘤、呼吸系统疾病和循环系统疾病。结论恶性肿瘤、呼吸和循环系统疾病是造成住院患者死亡的主要原因,应加强相关科室专科建设和学科研究,不断提升诊疗水平和医疗服务质量,降低住院患者病死率。Objectives This study aims to analyze the characteristics of hospitalized patients'deaths and provide a reference for disease prevention and control and hospital management decisions.Methods 2644 cases of medical record front pages of hospitalized patients who died from January 1,2019 to December 31,2023 were extracted through the hospital medical record front page information system.The main causes of death were classified according to ICD-10,and their gender,age and cause of death characteristics were analyzed.Results Among the 210,081 hospitalized patients,2,644 died,with a mortality rate of 1.26%.The case fatality rate showed a downward trend,with an average annual percentage change of-14.677%(P<0.05).The case fatality rate in males(1.55%)was significantly higher than that in females(0.96%,χ^(2)=147.621,P<0.001).The mortality rate of hospitalized patients gradually increased with age.It was at a lower level between 0 and 39 years old and increased rapidly after 40 years old.The age group with the highest mortality rate was 90 years old and above(7.38%).The mortality rates of different age groups were different(χ^(2)=8896.368,P<0.001).The top three causes of death among hospitalized patients were malignant tumors,respiratory diseases,and circulatory system diseases.Conclusions Malignant tumors,respiratory and circulatory system diseases are the main causes of death in hospitalized patients.Hospitals should strengthen the construction of specialty departments and subject research in related departments,continuously improve the level of diagnosis and treatment and the quality of medical services and reduce the mortality rate of hospitalized patients.

关 键 词：死亡病例 病死率 死因 住院病案首页 

分 类 号：R195.4[医药卫生—卫生统计学]