摘要
目的研究三甲综合性医院急诊疾病流行病学特点,分析急诊患者就诊特点,为急诊资源合理安排、急诊救治研究方向及医务人员培训提供一定的依据。方法采用回顾性研究方法,收集2017年8月1日-2018年7月31日期间在宜昌市某三级甲等综合医院急诊科就诊的74 021名患者的性别、年龄、就诊时间、就诊科室、诊断、主诉或症状及转归。数据采用Predictive Analytics Software 25.0版本进行统计分析,采用描述性分析(频数、构成比)、χ^2检验(计数资料)及方差分析。结果纳入资料完整的患者共72 966人次。急诊患者就诊以全天17:00~23:00时段居多,四季中以夏季和冬季较多。急诊患者男性多于女性,外科患者男性占比显著高于内科男性(P<0.05);0岁~14岁患者男性占比显著高于女性(P<0.05);全年患者以25岁~54岁人群占比较高,共37 975人(52%)。所有诊断中非急诊患者占比较高,共14620(20.0%),疾病诊断中创伤患者最多,共14924人(20.5%)。结论急诊医疗资源需求具有波动性,为预防疾病、合理调配资源,进一步提升急诊科救治能力和抢救水平,改善急诊医疗护理质量提供了客观依据。
Objectives To study the epidemiological characteristics of emergency diseases in the tertiary general hospital, and analyze the characteristics of emergency patients, so as to provide certain basis for the rational arrangement of emergency resources, research direction of emergency treatment and staff training.Methods A retrospective study was used to collect the gender, age, clinic time, diagnosis, chief complaint or symptoms and outcomes of 74021 patients who visited the emergency department of a tertiary hospital in Yichang during August 1 st,2017, solstice, July 31 st, 2018. The data were analyzed by Predictive Analysis Software 25.0.Descriptive analysis(frequency, proportion), chi-square test(count variable) and analysis of Variance, ANOVA were used. Results A total of 72966 patients with complete data were included in the study. Most patients in the emergency department were between 17:00 and 23:00, and most were in summer and winter. There were more males in emergency department than females, and the proportion of surgical patients of male was significantly higher than that of internal medicine patients of female(P<0.05). The proportion of men aged 0-14 years was significantly higher than that of women(P<0.05). 52 percent patients were mainly aged 25-54 years old, with37,975 cases. 14 620 non-emergency cases accounted for 20 Percent in all diagnoses. Among all disease diagnoses,trauma patients accounted for the highest proportion of 20.5, with 14924 cases. Conclusions It indicateed that the demand for emergency medical resources was fluctuating. It provided objective evidence for the prevention of disease, improvement of treatment ability and the quality of medical care.
作者
刘娜
郭庆
胡娟
张蓉
朱雪娇
Liu Na;Guo Qing;Hu Juan;Zhang Rong;Zhu Xuejiao(The First College of Clinical Medical Science, China Three Gorges University, Yichang Central People's Hospital, Yichang 443003, Hubei Province, China)
出处
《中国病案》
2019年第7期48-52,共5页
Chinese Medical Record
基金
宜昌市社科联(ysk18kt101)
关键词
急诊
疾病
流行病学
疾病谱
综合医院
Emergency
Disease
Epidemiology
Disease spectrum
Comprehensive hospital
