基于病案首页数据的住院老年病人共病规律的研究  

Study on the Comorbidity Law of Hospitalized Elderly Patients Based on the Medical Record Home Page Data

作　　者：汪涛[1] 宋若会[2] 汪旭 WANG Tao;SONG Ruohui;WANG Xu(Medical Records Center,the First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,Anhui,China;Department of Otorhinolaryngology,the First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,Anhui,China;Department of Medical,the First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,Anhui,China)

机构地区：[1]安徽中医药大学第一附属医院病案档案中心,安徽合肥230031 [2]安徽中医药大学第一附属医院耳鼻喉科,安徽合肥230031 [3]安徽中医药大学第一附属医院医务部,安徽合肥230031

出　　处：《医学信息》2025年第1期69-72,共4页Journal of Medical Information

基　　金：国家中医药管理局关于开展全国中医学术流派传承工作室第二轮建设项目(编号:国中医药人教函〔2019〕62号)。

摘　　要：目的了解某三甲中医院住院老年患者的疾病频率分布、住院诊断组合特征,研究其中的规律性,为临床医生、疾病预防提供参考。方法检索某三甲中医院2020年1月1日-12月31日住院患者病案首页数据,包括主要诊断、其他诊断、ICD-10编码等,分析共病患者的年龄、性别、共病病种的数量等特征;选择Apriori算法,通过关联分析得出诊断组合的支持度、置信度检验及关联规则挖掘方法,得出共病频繁项集。结果年龄>60岁的住院患者共18325例,其中共病患者17096例,占同期住院患者的93.29%;不同性别患者共病发生率比较,差异无统计学意义(P>0.05);不同年龄段共病发生率比较,差异有统计学意义(P<0.05);高血压、糖尿病、脑梗死、冠心病是最常见的共病模式,患者冠心病时常伴随心绞痛发作,高血压患者同时伴随肾终末期疾病、脑梗死、冠心病、糖尿病、贫血发生。结论住院老年患者多病共同存在,可以通过统计学方法和频繁项集算法探索多病共存的规律,从而为临床诊治、健康管理提供参考。Objective To understand the disease frequency distribution and hospitalization diagnosis combination characteristics of hospitalized elderly patients in a top three Chinese medicine hospital,and to study the regularity,so as to provide reference for clinicians and disease prevention.Methods The medical record home pagedata of inpatients in a top three Chinese medicine hospital from January 1,2020 to December 31,2020 were retrieved,including main diagnosis,other diagnosis,ICD-10 coding,etc.,and the characteristics of age,gender and number of comorbidities of patients with comorbidities were analyzed.The Apriori algorithm was selected,and the support degree,confidence test and association rule mining method of the diagnostic combination were obtained through association analysis,and the frequent itemsets of co-morbidity were obtained.Results There were 18325 hospitalized patients over 60 years old,including 17096 patients with comorbidities,accounting for 93.29%of the hospitalized patients in the same period.There was no significant difference in the incidence of comorbidities between patients of different genders(P>0.05).There was significant difference in the incidence of comorbidity among different age groups(P<0.05).Hypertension,diabetes,cerebral infarction and coronary heart disease were the most common comorbidities.Patients with coronary heart disease were often accompanied by angina pectoris.Patients with hypertension were also accompanied by end-stage renal disease,cerebral infarction,coronary heart disease,diabetes and anemia.Conclusion Multiple diseases coexist in hospitalized elderly patients.Statistical methods and frequent item set algorithms can be used to explore the law of multiple diseases coexistence,so as to provide reference for clinical diagnosis,treatment and health management.

关 键 词：共病 病案首页数据 频繁项集 APRIORI算法 

分 类 号：R197[医药卫生—卫生事业管理]