摘要
目的分析急诊科老年患者的流行病学特点,探讨诊疗服务过程中可优化的医疗服务流程。方法回顾性分析2017年1月至2020年12月于首都医科大学宣武医院急诊科就诊的305900人次老年患者的基本信息及就诊数据,对急诊科老年就诊患者的一般特点、就诊量分布、就诊时间分布及流行病学特点进行分析。采用SPSS 24.0统计软件进行数据分析。根据数据类型,分别采用方差分析或Kruskal-Wallis检验进行组间比较。结果305900人次老年患者年龄(72.34±9.27)岁;男女比例为0.86∶1.00;54.85%(16778/305900)来诊患者来自西城区外。Ⅰ、Ⅱ、Ⅲ级老年就诊患者共263635人次,分别占0.37%(1132/305900)、5.97%(18265/305900)、79.84%(244231/305900);就诊高峰期在10~12月及1~2月;有家属及他人陪同的患者占77.29%(236430/305900);救护车转运来院的患者占3.70%(11318/305900)。就诊科室中内科、神经内科及外科位居前三,分别占46.66%(14272/305900)、31.55%(96507/305900)和11.15%(34107/305900);疾病谱以脑血管疾病、心血管疾病及外伤位居前3名,资料回收有效率为100.00%。结论老年患者急诊就诊量逐年上升,就诊分布特征明显。应在加强对急诊患者就诊流程优化、合理优化资源配置的同时,加强对老年患者疾病知识的宣教,促进医疗资源的合理应用,提高急诊老年患者的整体救治水平。
Objective To analyze the epidemiological characteristics of the elderly patients in the emergency department of a grade-A tertiary hospital in Beijing and to explore the optimal medical service process of diagnosis and treatment.Methods A retrospective study was conducted of the general information and visit data of 30900 elderly patients who visited the Emergency Department of Xuanwu Hospital of Capital Medical University from January 2017 to December 2020,analyzing their general characteristics,visit distribution,distribution of visit time,and epidemiological characteristics.SPSS statistics 24.0 was used for data analysis.Depending on data type,analysis of variance or Kruskal-Wallis test was used for comparison between groups.Results Of 305900 elderly patients,the mean age was(72.34±9.27)years,the male/female ratio was 0.86∶1.00,and 54.85%(16778/305900)were from other areas than Xicheng District,where the hospital is located.The elderly patients in GradeⅠ,ⅡandⅢnumbered 263635,accounting for 0.37%(1132/305900),5.97%(18265/305900)and 79.84%(244231/305900),respectively.The visits peaked from October to December and from January to February.Patients accompanied by family members or others accounted for 77.29%(236430/305900),and 3.70%(11318/305900)were transported to hospital by ambulance.The top three departments visited were the Department of Internal Medicine[46.66%(231272/305900)],the Neurology Department[31.55%(96507/305900)],and Surgical Department[11.15%(34107/305900)].Cerebrovascular diseases,cardiovascular diseases and trauma ranked the top three on the disease spectrum,and the data collection rate was 100.00%.Conclusion The number of emergency visits by the elderly patients increases year by year with distinctive distribution characteristics.It is necessary to optimize the process of visit and rational allocation of resources at the emergency department.In the meanwhile,the overall treatment experience of the elderly emergency patients needs to be improved by strengthening education of the elderly
作者
程萌
梁潇
孙雪莲
李思颉
Cheng Meng;Liang Xiao;Sun Xuelian;Li Sijie(Department of Emergency,Xuanwu Hospital of Capital Medical University,Beijing 100053,China)
出处
《中华老年多器官疾病杂志》
2023年第4期268-273,共6页
Chinese Journal of Multiple Organ Diseases in the Elderly
基金
首都医科大学宣武医院新冠疫情专项课题(XWZX-2020016)。
关键词
老年人
急诊科
流行病学
aged
emergency department
epidemiology
