摘要
目的分析某综合性三甲医院重症医学科的死亡病例,探索死亡原因分布及重点防治人群。方法利用病案统计系统导出2018年1月1日-2018年12月31日重症医学科死亡病例共165例,收集年龄、性别、主要诊断、住院时间、入院科室等信息,通过DRGs系统的分组数据,提取每份病例的死亡风险分级,采用χ2检验比较死亡风险分级在不同年龄、不同性别、不同收治科室及不同死亡时限的构成比情况。结果死亡风险分级在高风险组中,男性多于女性。165例病例的根本死亡原因主要为呼吸系统疾病、多发伤、脑内出血,而多发伤是高风险组的首要死因。结论对死亡病例做好分析总结,加强对死亡高风险组的男性患者及多发伤患者的关注,在提高业务能力的基础上促进多学科协作,从而降低住院患者死亡率。
Objectives To analyze the death cases in the intensive care unit(ICU)of a comprehensive top three hospital,and explore the causes of death and key preventable populations.Methods A total of 165 deaths in ICU were exported from the medical record system from January 1 st to December 31 st in 2018.The age,gender,major diagnosis,length of hospital stay,admission to hospital,etc.were collected.Through the grouped data of DRGs system,risk grade of death was extracted.Chi-square test was used to compare the risk grade of death in different ages,different genders,different admission departments and different time limits for death.Results Male patients were more than females of the high-risk group in risk grade of death.The mai n causes of 165 deaths were respi ratory diseases,multiple injuries,and cerebral hemorrhage.However,car accident injuries were the leading cause of death in the high-risk group.Conclusions By summarizing the death cases,pay more attention to the male patients and car accident injured patients in high-risk group,then promote multi-disciplinary cooperation on the basis of the improvement of professional abilities,finally it would help to reduce the mortality rate of hospitalized patients.
作者
翟雨
刘欣
刘乃鹏
方诗元
Zhai Yu;Liu Xin;Liu Naipeng;Fang Shiyuan(Department of Medical Affairs,The First Affiliated Hospital of the University of Science and Technology of China,Hefei 230001,Anhui Province,China;不详)
出处
《中国病案》
2020年第9期74-76,共3页
Chinese Medical Record
