摘要
目的通过对某三级综合医院住院死亡患者病例的分析,了解该院的病死率、性别构成、年龄分布及死亡顺位情况,为医院决策者提供科学的管理依据。方法调取该院2009—2019年死亡患者病案首页,采用国际统计分类ICD-10对出院诊断进行分类,明晰住院病死率、死亡分布及顺位情况,采用χ^(2)检验对资料进行分析比较。结果2009—2019年该院住院病死率0.72%,除2014年与上年持平,2015年略有升高外,总体呈逐年下降趋势。女性病死率明显低于男性,≥80岁年龄段死亡人数最多,恶性肿瘤、呼吸系统疾病、循环系统疾病分别列在死因的前3位。结论提高老年人、男性的健康意识和健康素养,医疗机构需加强肿瘤科、呼吸内科等学科建设,提高医疗服务水平,降低病死率。
Objective To analyze the hospitalized death cases in a tertiary hospital in Anhui province,to identify case fatality rate,gender composition,age distribution,and death sequence,so as to provide references for the hospital management.Methods The first pages of the medical records of the patients who died in the hospital from 2009 to 2019 were collected,and the international statistical classification ICD-10 was used to classify the discharge diagnoses,in order to clarify the mortality rate,death distribution and death sequence in the hospital,and Chi-square test was used to analyze and compare the data.Results From 2009 to 2019,the inpatient mortality rate of the hospital was 0.72%,which remained the same as that of the previous year in 2014 and slightly increased in 2015.The overall trend of mortality was decreasing year by year.The female mortality rate was significantly lower than that of the male,and the number of deaths in the age group≥80 years old was the largest.The top three causes of death were malignant tumors,respiratory system diseases and circulatory system diseases.Conclusion To improve the health awareness and health literacy of the elderly and men,medical institutions need to strengthen the construction of oncology,respiratory medicine and other disciplines,improve the level of medical services,and reduce the case fatality rate.
作者
江洁
凌文
胡安丽
Jiang Jie;Ling Wen;Hu Anli(Medical Insurance Office,The Fourth Affiliated Hospital of Anhui Medical University,Hefei 230012,China)
出处
《中国医院统计》
2021年第3期242-244,共3页
Chinese Journal of Hospital Statistics
基金
国家社会科学基金(17BGL183)。
关键词
死亡病例
病死率
死亡原因
death case
fatality rate
cause of death
