DRGs背景下某三级甲等综合性医院住院恶性肿瘤死亡病例分析  

Analysis of death cases of hospitalized patients with malignant tumor in a Grade-A tertiary general hospital in the context of DRGs

作　　者：杨淞 宗立国[2] 田杰 孟丽[1,4] YANG Song;ZONG Liguo;TIAN Jie;MENG Li(Department of Radiotherapy,Tai'an City Central Hospital Affiliated to Qingdao University,Tai'an 271000,China;不详)

机构地区：[1]青岛大学附属泰安市中心医院放疗科,山东泰安271000 [2]枣庄市立医院呼吸与危重症科,山东枣庄277100 [3]桓台县中医院肺病二科,山东淄博256400 [4]聊城市人民医院博士后工作站,山东聊城252000

出　　处：《山东医药》2025年第2期75-79,共5页Shandong Medical Journal

基　　金：山东省泰安市科技创新发展项目(2021NS308)。

摘　　要：目的在疾病诊断相关分组(DRGs)背景下,分析山东省某三级甲等(简称三甲)综合性医院住院恶性肿瘤死亡病例特征,为肿瘤预防、医疗资源合理配置及医院管理提供依据。方法借助医院病案管理系统,获得山东省某三甲综合性医院2019—2023年住院恶性肿瘤死亡病例的病案数据。2019年1月1日—2023年12月31日,该医院住院的恶性肿瘤患者共14601例,死亡病例1233例(8.44%)。收集死亡病例的年龄、性别、出院诊断、住院时间、住院费用等资料,总结并分析死亡病例的分布情况。结果2019—2023年死亡病例占所有住院恶性肿瘤患者的比例整体呈上升趋势。各年度死亡病例中,男性占比均高于女性(P均<0.05);各年龄段中,40岁以上年龄段死亡病例占比较高,其中61~70岁年龄段占比最高(P均<0.05);死亡病例所患肿瘤排名前10位为肺癌、肝癌、胃癌、食管癌、胰腺癌、结肠癌、髓样白血病、直肠癌、乳腺癌、胆管及胆管癌。2019—2023年,恶性肿瘤死亡病例住院时间、住院费用呈逐年下降趋势(P均<0.05)。结论2019—2023年度,某三甲综合性医院住院恶性肿瘤死亡病例占所有住院恶性肿瘤患者的比例呈增加趋势;死亡病例中,男性占比普遍高于女性,以61~70岁年龄段占比最高,常见肿瘤以肺癌、肝癌、胃癌、食管癌等为主;DRGs背景下,恶性肿瘤死亡病例的住院时间、住院费用下降。Objective To analyze the characteristics of malignant tumor deaths in a Grade-A tertiary general hospi tal in Shandong Province under the background of disease diagnosis-related groups(DRGs),so as to provide a basis for tu mor prevention,rational allocation of medical resources and hospital management.Methods With the help of the hospi tal medical record management system,the medical record data of hospitalized malignant tumor death cases from 2019 to 2023 in a Grade-A tertiary general hospital in Shandong Province were obtained.From January 1,2019 to December 31,2023,a total of 14,601 malignant tumor patients were hospitalized in the hospital,and 1,233(8.44%)died.Data on age,sex,discharge diagnosis,hospitalization time,hospitalization cost,and discharge transfer of deaths were collected,and the distribution of deaths was summarized and analyzed.Results The proportion of deaths in all hospitalized malig nancy patients from 2019 to 2023 increased.Among the annual deaths,the proportion of men was higher than that of wom en(P<0.05);among all age groups,the proportion of death cases was higher in those over 40 years old,with the highest proportion observed in the 61-70 years old age group(all P<0.05).The top 10 dead tumors were lung cancer,liver can cer,gastric cancer,esophageal cancer,pancreatic cancer,colon cancer,myeloid leukemia,rectal cancer,breast can cer,bile duct and biliary tract cancer.From 2019 to 2023,the hospitalization time and hospitalization cost of hospitalized deaths of malignant tumors showed a decreasing trend year by year(both P<0.05).Conclusions From 2019 to 2023,the proportion of deaths of malignant tumors in the Grade-A tertiary general hospital increased,and the proportion of deaths in males was generally higher than that in females,with the highest proportion in the 61-70 years old age group,and common tumors were lung cancer,liver cancer,gastric cancer and esophageal cancer,etc.In the context of DRGs,the hospitalization time and hospitalization cost of deaths of malignant tumors decreased.

关 键 词：恶性肿瘤 疾病诊断相关分组 死因分析 

分 类 号：R197.3[医药卫生—卫生事业管理]