摘要
目的通过对出院患者的疾病构成及死因构成分析,为某院提高医疗工作质量及降低该院住院患者死亡率提供科学依据。方法通过某院病案管理系统平台,以第一诊断为依据,按照ICD-10的各个章节进行分类,对2011年-2015年住院患者进行数据分析。结果 2011年-2015年五年期间某院出院患者共131 967例,前十位疾病出院患者共108 011例,占总出院人数的81.85%,前十位疾病妊娠、分娩和产褥期疾病占首位,占全院出院总人数的12.54%,其次为眼和副器疾病、泌尿生殖系统疾病、内分泌、营养代谢系统疾病、肿瘤、神经系统疾病、循环系统疾病、呼吸系统疾病、消化系统疾病。五年间死亡病例共414例,占总出院人数的0.33%,前十位死因占总死亡病例的23.43%,死亡患者前十位死因分别是肺恶性肿瘤、脑挫伤、冠状动脉粥样硬化性心脏病、贲门恶性肿瘤、肺部感染、食管恶性肿瘤、脑出血、吸入性肺炎、肝恶性肿瘤。结论根据每年出院患者疾病构成调整医院编制床位、人员配置及设备投入,做好常见病、慢性病的诊治工作,特别是对于科学制定管理决策,降低住院患者的死亡率,提高患者的生命质量尤为重要。
Objectives To provide scientific evidence for improving the work quality of medical treatment and decreasing the death rate of hospitalized patients through analyzing on the diseases constitution and death cause constitution of discharged patients. Methods Through the system platform of medical records management of the hospital, making classification according to each section in ICD-10 with taking the first diagnosis as evidence, and conducting data analysis on the inpatients from 2011 to 2015. Results There were 131967 cases of discharged patients in the past five years from 2011 to 2015, and 108011 cases were patients got with the top ten kinds of years, which accounted for 81.85%of all the discharged patients. Gestation, delivery and puerperal state diseases ranked the top place in the top ten kinds of diseases, which accounted for 12.54%, the other diseases included eyes and assistant diseases,genitourinary system diseases,endocrine and nutrition metabolism diseases,tumors,neurosurgery system diseases, circulation system diseases, respiratory system diseases, digestive system diseases. There were 414 cases of death cases during the five years, which accounted for 0.33%, the top ten death causes accounted for 23.43% of all.The top ten death causes included lung malignant tumor,cerebral contusion,atherosclerosis of coronary artery,malignant tumors in cardiac,pulmonary infection,malignant tumors of esophagus,cerebral hemorrhage, aspiration pneumonia and malignant tumors of liver. Conclusions We should adjust the authorized beds, personnel allocation and equipment injection of the hospital according to the diseases composition of discharged patients, do well the diagnosis and treatment of common diseases and chronic diseases, which were especially important for the formulation of scientific of management decision making, the decreasing of mortality of hospitalized patients, as well as the improvement of life quality.
出处
《中国病案》
2016年第8期67-69,共3页
Chinese Medical Record
关键词
出院患者疾病构成
死亡病例
死因分析
Disease composition of discharged patients
Death cases
Death causes analysis
