某综合医院3650例死亡病例网络报告资料分析  

Analysis of 3650 Death Cases Reported on the Internet in a General Hospital

作　　者：俞冬梅[1] 李巧瑜 Yu Dongmei;Li Qiaoyu(Jining First People's Hospital,Jining 272011,Shandong Province,China)

机构地区：[1]济宁市第一人民医院,山东省济宁市272011

出　　处：《中国病案》2025年第1期56-60,共5页Chinese Medical Record

摘　　要：目的 探讨某综合医院3650例死亡病例的死因构成特点,为疾病预防和医院管理措施的制订提供参考依据。方法 抽取全国死因登记报告信息系统中某综合医院2020年1月1日-2022年12月31日报告3650例死亡病例资料,按照国际疾病分类标准ICD-10对根本死因统一编码,对死因分布情况进行描述性分析。结果 2020年-2022年某医院报告死亡3650例。其中40岁以上的占全部死亡人数89.51%,男性多于女性(男女比=1.9:1)。前5位死因构成比依次为循环系统疾病(45.07%)、恶性肿瘤(18.44%)、损伤和中毒(15.92%)、呼吸系统疾病(9.32%)、消化系统疾病(2.77%),累计构成比为91.51%。男性和女性的前5位死因分布与顺位相同。循环系统疾病前5位死因分布及顺位男女稍有不同;恶性肿瘤前5位死因及顺位男女有显著差别。意外事故死亡病例男性显著多于女性,故意自害、意图不确定的事件男性少于女性。不同年龄组死因分布不同,循环系统疾病在30岁以上随年龄的增加而显著增加;恶性肿瘤在40岁~69岁随年龄的增加而逐渐增加;呼吸系统疾病在50岁以上随年龄的增加而逐渐增加。结论 循环系统疾病、恶性肿瘤等慢性非传染性疾病仍然是威胁群众生命健康的主要疾病,卫生行政部门和医疗机构应合理配置医疗资源,针对重点人群采取相应的预防保健、筛查治疗提供措施,提高医疗诊治水平,降低患者病死率。Objectives This study aims to explore the characteristics of the cause of death of 3650 cases in a general hospital, and to provide a reference for disease prevention and hospital management measures. Methods Data on 3,650deaths reported by a general hospital from January 1, 2020 to December 31, 2022 were extracted from the National Death Cause Registration and Reporting Information System and were analyzed by using Excel and SPSS 26.0 software according to the tenth edition of the International Classification of Diseases(ICD-10). Results From 2020 to 2022,3650 deaths were reported in a hospital, and the mortality rate of inpatients was 0.58%. Among the reported deaths,89.51% were over 40 years old, with more males than females(male to female ratio =1.9:1). The top five causes of death were circulatory system disease(45.07%), malignant tumor(18.44%), injury and poisoning(15.92%),respiratory system disease(9.32%) and digestive system disease(2.77%), and the cumulative proportion was 91.51%. The top five causes of death for male and female were distributed and ranked in the same order. The distribution and order of the top five causes of death from circulatory system diseases were slightly different between male and female;the top five causes of death from malignant tumors and their order were significantly different between male and female. The number of accidental deaths was significantly higher in male than in female, and the number of intentional self-harm and uncertain intentions was less in male than in female. The distribution of death causes in different age groups was different, and circulatory diseases increased significantly with age over 30 years old.Malignant tumors gradually increased with age from 40 to 69 years old. Respiratory diseases gradually increased with age over 50 years old. Conclusions Chronic non-communicable diseases, such as circulatory system diseases and malignant tumors, are still the main diseases that threaten people's lives and health, and injury poisoning has become an important

关 键 词：综合医院 死亡病例 网络报告系统 

分 类 号：R195.3[医药卫生—卫生统计学]