摘要
目的 回顾性分析海南省某三甲医院老年损伤与中毒住院患者的性别与年龄分布、就诊季节分布、损伤与中毒的类型与外部原因,为防控老年损伤和中毒的发生提供依据。方法 根据ICD-10标准分类,从医院信息系统中检索2016年1月1日-2020年12月31日期间出院主要诊断编码在S00-T98范围内的5444例60岁以上老年损伤与中毒住院患者的病案信息。采用SPSS20.0统计学软件对数据进行处理与分析。定性资料用率或构成比来描述。采用卡方趋势性检验对计数资料构成比的发展趋势进行分析。结果 5年来老年损伤与中毒患者总数由826例增长到了1219例,与出院人数的比例有逐年上升趋势(χ^(2)=15.318,P<0.001)。男性2710例,女性2734例,男女性别比为:0.99:1,女性多于男性,且女性构成比随年龄增加而加大(χ^(2)=193.127,P<0.001)。60~岁组患者2452例,构成比最高,占45.04%。患者主要在冬季就诊,共1504例,占27.63%,其次是秋季,共1426例,占26.19%。老年患者损伤与中毒的三大主要类型是下肢损伤(2397例,占44.03%)、肩与上肢损伤(710例,占13.04%)、头部损伤(653例,占11.99%),三大原因是:跌落/跌倒(3118例,占57.27%)、交通事故(797例,占14.64%)、物体击中/接触锐利工具/机械事故(453例,占8.32%)。结论 海南省老年人损伤与中毒患者数量与构成逐年增加,尤其是女性。60~69岁在冬季就诊患者居多,主要是由于跌落/跌倒或交通事故造成下肢、肩与上肢、头部损伤。
Objectives A retrospective analysis was performed on the gender and age distribution, seasonal distribution, types and external causes of injury and poisoning in 5444 elderly patients hospitalized with injury and poisoning in a Three A and Tertiary Hospital in Hainan Province to provide evidence for the prevention and control of injury and poisoning in the elderly. Methods According to the ICD-10 standard classification, the medical records of 5444 hospitalized patients over 60 years old with injury and poisoning were retrieved from the hospital information system from January 1st, 2016 to December 31st, 2020, whose major diagnostic codes were in the range of S00-T98.SPSS20.0 statistical software was used to process and analyze the data. Qualitative data are described by ratio or composition. The Chi-square trend test was used to analyze the development trend of the composition ratio of enumerative data. Results In the past 5 years, the total number of elderly patients with injury and poisoning increased from 826 to 1219, and the proportion of them in discharged patients increased year by year(χ^(2)=15.318, P<0.001).There were 2710 males and 2734 females. The male-to-female ratio was 0.99:1, with more females than males, and the proportion of females increased with age(χ^(2)=193.127, P<0.001). There were 2452 patients in 60~ year old group, with the highest constituent ratio of 45.04%. Patients were mainly treated in winter, with 1504 cases,accounting for 27.63%, followed by autumn, with 1426 cases, accounting for 26.19%. The three main types of injury and poisoning in elderly patients were lower limb injury(2397 cases, 44.03%), shoulder and upper limb injury(710cases, 13.04%), and head injury(653 cases, 11.99%). The three main reasons were as follows: Falls/falls(3118cases, 57.27%), traffic accidents(797 cases, 14.64%), objects hitting/contacting sharp tools/machinery accidents(453 cases, 8.32%). Conclusions In Hainan Province, the number and composition of elderly patients with injury and poisoning increased
作者
韩丽珍
Han Lizhen(Hainan General Hospital(Hainan Affiliated Hospital Of Hainan Medical University),Haikou 570311,Hainan Province,China)
出处
《中国病案》
2023年第2期54-57,共4页
Chinese Medical Record
基金
海南省医药卫生科研项目(21A200179)
海南省哲学社会科学规划课题研究(HNSK(YB)19-89)。
关键词
老年人
损伤
中毒
住院病案
The elderly
Injury
Poisoning
Hospitalized medical record
