摘要
目的对院前死亡病例进行分析,为深圳市龙岗区死因监测管理及疾病防控工作提供依据。方法收集2016-2020年龙岗区院前死亡病例的资料,比对全国人口死亡信息登记管理系统和深圳市殡仪馆死亡数据,对院前死亡病例的构成及死因进行分析。结果2016-2020年深圳市龙岗区院前死亡病例共报告3887例,月报告数相对平稳,部分病例在龙岗区的死亡监测系统中无记录,但殡仪馆有记录,漏报率2017年最高(2.94%),2020年最低(0.58%)。死因顺位前五位分别为循环系统疾病、损伤和中毒、死因不明、肿瘤和呼吸系统疾病。死亡病例中,男、女性别比为2.50∶1,45岁以下人群死因顺位第一位为损伤及中毒,45岁以上人群死因顺位第一位为循环系统疾病。结论龙岗区院前死亡病例漏报情况得到改善。45岁以下人群须重点防止意外伤害,45岁以上人群须重点防范循环系统疾病。应加强急救能力建设、普及急救常识,进一步降低院前死亡率。
Objective To analyze the cases of pre-hospital deaths in Longgang District of Shenzhen City for evidence in following surveillance over the death cause and disease prevention and control.Methods The data of pre-hospital death cases in Longgang District were collected from 2016 to 2020,and compared with the registered information in the National Population Death Information Registration and Management System,and Shenzhen funeral home.Then the data were analyzed for the composition and causes of pre-hospital death cases.Results A total of 3887 pre-hospital deaths were reported from 2016 to 2020.The deaths reported monthly were relatively stable.Partial deaths were not registered in the death surveillance system in Longgang District,yet maintained in the inventory of the funeral home.Miss-reporting rate was the highest in 2017(2.94%),and the lowest in 2020(0.58%).The top five causes of death stood from circulatory diseases,injuries and poisoning,unknown causes of death,tumors and respiratory diseases.In the death cases,the ratio of male to female was 2.50∶1.Injury and poisoning were in the first order of cause of death for people under 45 years old,yet circulatory diseases the most cause of death in those aged over 45 years.Conclusion The under-reported cases of pre-hospital deaths have been improved in Longgang District.Prevention on accidental injury should be weighed in people under 45 years old,and on circulatory disease in those aged over 45 years.Medical institutions should strength the capacity of first aid,and universally spread the knowledge on first aid in population,so as to reduce mortality of pre-hospital death.
作者
陈嘉慧
叶碧莉
李刚
刘凤仁
林健
郑洁纯
黄欢婷
CHEN Jia-hui;YE Bi-li;LI Gang;LIU Feng-ren;LIN Jian;ZHENG Jie-chun;HUANG Huan-ting(Longgang District Center for Disease Control and Prevention,Shenzhen 518000,Guangdong Province,China;Longhua District Center for Disease Control and Prevention)
出处
《热带病与寄生虫学》
CAS
2021年第4期227-230,共4页
Journal of Tropical Diseases and Parasitology
关键词
院前死亡
死因顺位
监测
Pre-hospital death
Order of cause of death
Surveillance
