319例伤害死亡患者伤害类型和外部原因帕累托图分析  

Pareto Chart Analysis of Injury Types and External Causes in 319 Patients with Injury Deaths

作　　者：吕运秀 孟海英[2] Lv Yunxiu;Meng Haiving(Civil Aviation General Hospital,Beijing 100123,China;不详)

机构地区：[1]民航总医院,北京市100123 [2]北京市朝阳区疾病预防控制中心监测信息科,北京市100021

出　　处：《中国病案》2024年第12期50-55,共6页Chinese Medical Record

摘　　要：目的分析某院伤害死亡患者伤害的类型和外部原因,为合理配置医疗资源,加强某地区的伤害防治工作提供可靠依据。方法收集某院2015年1月1日-2022年12月31日因伤害死亡的319例患者信息及根本死亡原因,按ICD-10对死因进行分类汇总,选取根本死因ICD-10编码为V01~Y98的个案,运用帕累托图法对伤害死亡患者伤害类型和伤害外部原因进行分析。结果2015-2022年某院住院患者病死率为2.52%,高于急诊的0.14%;急诊伤害死亡占比为8.25%,高于住院的2.82%。319例因伤害死亡患者,男女比例为1.75:1,男性高于女性,男性与女性在不同年龄组差异有统计学意义,χ^(2)=308.196,P<0.001,死亡构成最高年龄组为85岁~94岁,占25.39%,65岁以上共占67.71%;利用帕累托图分析,伤害类型主要影响因素为头部损伤、下肢损伤、损伤后遗症、腹部、下背、腰椎及骨盆损伤,累计构成比为77.12%,伤害外部原因主要影响因素是跌倒及交通事故,累计构成比为75.55%。结论老年人跌倒及交通事故对头部、下肢损伤等伤害类型的结局有重要的影响,建议政府部门进一步做好养老服务保障工作,加强交通安全管理,降低伤害的发生率,医院应加强神经外科、骨科等创伤学科建设,合理调配医疗资源,降低伤害的病死率。Objectives To collect information on patients who died of injuries and poisoning(hereinafter referred to as injuries)in a hospital,and analyze the types of injuries and external causes of injuries in patients who died of injuries in a hospital,so as to provide a reliable basis for the rational allocation of medical resources and the enhancement of the prevention and treatment of injuries in the region.Methods Information and underlying causes of death of 319 patients who died from injuries in a hospital from January 1st,2015,to December 31st,2022,were collected,and the causes of death were categorized and summarized according to ICD-10,and the cases with underlying cause of death ICD-10 codes of V01 to Y98 were selected,and the type of injury and external causes of injury in patients who died from injuries were analyzed by using the Pareto chart method.Results From 2015 to 2022,the inpatient mortality rate of a hospital was higher(2.52%)than that of emergency care(0.14%),but the percentage of injury deaths in emergency care(8.25%)was higher than that of inpatient care(2.82%).A total of 319 deaths due to injuries were collected in the 8-year period,with a male-to-female ratio of 1.75:1,with males higher than females,and the difference between males and females in the different age groups was statistically significant(χ^(2)=308.196,P<0.001),the highest age group constituting death was 85-94 years old(25.39%),and 65 years old or older accounted for a total of 67.71%;analyzed using a Pareto chart,the main influencing factors of injury type were head injury,lower extremity injury,sequelae of injury,abdominal,lower back,lumbar spine,and pelvic injuries,with a cumulative ratio of 77.12%,and the main influence of external causes of injury was falls and traffic accidents.The main factors influencing the external causes of injuries were falls and traffic accidents,with a cumulative percentage of 75.55%.Conclusions Falls and traffic accidents among the elderly had an important impact on the outcome of head and lower limb i

关 键 词：伤害 疾病构成 ICD-10 帕累托图分析 

分 类 号：R197.323[医药卫生—卫生事业管理]