2020-2022年某三甲医院住院病例死亡情况统计分析  

Statistical Analysis of Mortality Among Inpatients in a Tertiary Hospital from 2020 to 2022

作　　者：汪涛[1] 张东伟[2] 宋伟[3] 汪旭 刘雪琼 WANG Tao;ZHANG Dongwei;SONG Wei;WANG Xu;LIU Xueqiong(Medical Record Archives Center,the First Affiliated Hospitalof Anhui University of Chinese Medicine,Hefei 230031,Anhui,China;Oncology Department,the First Affiliated Hospitalof Anhui University of Chinese Medicine,Hefei 230031,Anhui,China;Information Center,the First Affiliated Hospitalof Anhui University of Chinese Medicine,Hefei 230031,Anhui,China;Medical Service,the First Affiliated Hospitalof 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肿瘤科,安徽合肥230031 [3]安徽中医药大学第一附属医院信息中心,安徽合肥230031 [4]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6期91-94,共4页Journal of Medical Information

基　　金：第二批省级中医优势(特色)专科和第一批省级区域中医康复中心、中药制剂中心项目(编号:皖中医药服务秘〔2022〕34号)。

摘　　要：目的了解安徽省某三甲医院住院患者死亡的主要特征、病死率的变化趋势、主要的死亡原因及其变化,为该院提高危重疾病诊疗水平、制定管理策略提供依据。方法通过住院信息系统导出2020-2022年某院全部住院死亡病例信息,采用Cochran-Armitage趋势检验判断不同年度病死率的变化趋势,采用卡方检验分析不同性别患者病死率差异性。采用描述性研究不同季节、不同年龄组死亡病例分布、死亡病例死因构成及顺位情况。结果2020-2022年年病死率总体上逐年减少,不同年份的死亡率趋势比较,差异有统计学意义(P<0.05)。安徽省某医院住院患者病死率为0.60%,男性患者病死率高于女性,差异有统计学意义(P<0.05)。死亡病例在冬季较多(28.48%),住院患者病死年龄主要在70岁以上(68.52%),死因前3位的主要诊断为肺部感染(10.92%)、重症肺炎(8.03%)、呼吸衰竭(8.03%)。结论应关注高龄男性健康问题,在春冬两季特别是冬季加强呼吸系统疾病的宣教及干预,重视和提升恶性肿瘤、循环系统疾病及呼吸系统疾病的防治水平,降低患者病死率。Objective To understand the main characteristics of mortality among inpatients in a tertiary hospital in Anhui Province,the trend of mortality rate changes,the main causes of death and their changes,and to provide a basis for improving the diagnosis and treatment level of critical diseases and formulating management strategies in the hospital.Methods All inpatient death cases from 2020 to 2022 in a hospital were exported through the inpatient information system.The Cochran-Armitage trend test was used to determine the trend of mortality in different years,the chi-square test was used to analyze the difference in mortality among patients with different genders,and descriptive study was used to study the distribution of death cases,the composition and sequence of death causes in different seasons and different age groups.Results From 2020 to 2022,the annual mortality rate decreased year by year,and the difference in mortality trends in different years was statistically significant(P<0.05).The mortality rate of inpatients in a hospital in Anhui Province was 0.60%.The mortality rate of male patients was higher than that of female patients,and the difference was statistically significant(P<0.05).The death cases were more in winter(28.48%).The death age of hospitalized patients was mainly over 70 years old(68.52%).The top three causes of death were pulmonary infection(10.92%),sever pneumonia(8.03%)and respiratory failure(8.03%).Conclusion We should pay attention to the health problems of elderly men,strengthen the propaganda and education and intervention of respiratory diseases in spring and winter,especially in winter.Meanwhile,we should pay attention to and improve the prevention and treatment level of malignant tumor,circulatory system diseases and respiratory system diseases,and reduce the mortality of patients.

关 键 词：住院患者 病死率 统计分析 

分 类 号：R195.4[医药卫生—卫生统计学]