基于DRGs的2019-2023年某院住院患者死亡病例分析  

Analysis of Death Cases of Inpatients in a Hospital from 2019 to 2023 Based on DRGs

作　　者：赵琳[1] Zhao Lin(Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院,北京市100053

出　　处：《中国病案》2025年第3期37-40,共4页Chinese Medical Record

基　　金：首都卫生管理与政策研究基地开放性课题(2018JD04);北京市优秀人才-青年骨干个人项目(2016000020124G109)。

摘　　要：目的基于DRGs分析住院死亡病例情况,为医院重点专科诊疗和医院管理提供数据支持。方法收集北京市某三甲医院2019年1月1日—2023年12月31日住院死亡患者2042例的住院病案首页信息和DRGs分组信息,回顾性分析住院死亡病例的性别分层、年龄分层以及DRGs分布情况。结果2019-2023年住院死亡患者2042例DRGs入组2014例,住院死亡患者81~90岁组最多560例;2019-2023年住院死亡患者MDC前3位分别是呼吸系统疾病及功能障碍(637例)、神经系统疾病及功能障碍(552例)和循环系统疾病及功能障碍(343例);ADRG组分布结果显示住院死亡患者中内科诊断组最多949例(46.47%);住院死亡患者中伴有严重的并发症和合并症最多1356例(66.41%)。结论男性患者、81~90岁组患者、呼吸系统疾病及功能障碍患者以及伴有严重并发症和合并症的患者是住院死亡患者的主要病因,研究结果为住院死亡病例患者的医疗管理提供了数据支持。Objectives The study aims to analyze hospitalized mortality cases based on DRGs,providing data support for key specialty diagnosis and treatment and hospital management.Methods The medical record front-page information and DRGs grouping information of 2,042 inpatient death cases in a tertiary hospital in Beijing from January 1,2019 to December 31,2023 were collected.The sex and age stratification and DRGs distribution of in-hospital deaths were retrospectively analyzed.Results There were 2,042 inpatient deaths from 2019 to 2023.2,014 patients were included in DRGs,and the maximum number of inpatient deaths in the 81-90 age group was 560.The top three MDCs for inpatient deaths from 2019 to 2023 were respiratory diseases and dysfunctions(637 cases),nervous system diseases and dysfunctions(552 cases),and circulatory system diseases and dysfunctions(343 cases).The ADRG group distribution results showed that among the inpatient deaths,the largest number of patients were in the medical diagnosis group,with 949 cases(46.47%).The highest number of hospitalized deceased patients with severe complications and comorbidities was 1356(66.41%).Conclusions The study suggests that male patients,patients aged 81 to 90 years,patients with respiratory diseases and functional disorders,and patients with severe complications and comorbidities are the main cases of hospitalized deaths.The research results provide data support for the medical management of hospitalized deaths.

关 键 词：住院患者 死亡病例 疾病诊断相关分组 

分 类 号：R197.323[医药卫生—卫生事业管理]