摘要
目的了解某三甲综合医院住院病例的死亡病例疾病构成及变化规律,为卫生医疗机构制定决策提供科学依据。方法对某院2017年1月1日-2020年12月31日2301例住院死亡病例的性别、年龄、病死率、死亡疾病构成等进行统计学分析。结果死亡疾病构成前3位为循环系统疾病(30.60%)、呼吸系统疾病(21.95%)和肿瘤(19.30%),不同年龄(P<0.01)及不同年份(P<0.01)的前10位疾病构成相同,但顺位存在差异,不同性别疾病构成差异无统计学意义(P=0.246)。结论男性及老年患者为病死率较高的人群,循环系统疾病、呼吸系统疾病及肿瘤为死亡病例疾病构成的前3位,应当加大对男性及老年患者的健康教育,重视对循环系统疾病、呼吸系统疾病及肿瘤的防治工作,关注传染病及寄生虫病的变化情况,加大对人群的卫生教育和安全教育,降低病死率,提升人群健康水平。
Objectives This study aims to investigate the disease composition and changing trends of death cases in a tertiary general hospital,so as to provide a scientific basis for the decision-making of health care institutions.Methods A total of 2301 deaths cases from January 1,2017 to December 31,2020 were statistically analyzed from the aspects of gender,age,case fatality rate,and death disease composition of hospitalized deaths.Results The top three causes of death diseases were circulatory system diseases(30.60%),respiratory system diseases(21.95%)and tumors(19.30%).The top 10 diseases of different ages(P<0.01)and different years(P<0.01)had the same composition,while the order was different.There was no significant difference in the composition of diseases between different genders(P=0.246).Conclusions Male and elderly patients were the main populations with a high mortality rate.Circulatory system diseases,respiratory system diseases and tumors were the top 3 diseases of death cases.Hospitals should increase health education for male and elderly patients,pay attention to the prevention and treatment of circulatory system diseases,respiratory system diseases and tumors,focus on the changes in infectious and parasitic diseases,and increase health education and safety education for the population,so as to reduce the fatality rate and improve the health level of the population.
作者
吴曼琪
孟依凡
安明扬
潘习龙
WuManqi;Meng Yifan;An Mingyang;Pan Xilong(School of Public Health,Peking University,Beijing 100191,China;不详)
出处
《中国病案》
2022年第11期72-74,共3页
Chinese Medical Record
关键词
死亡病例
病死率
顺位
疾病构成
Death cases
case fatality rate
Sequence
Disease composition
