摘要
目的分析某院急诊医学科近3年就诊患者疾病谱,探究大型公共卫生事件对急诊科就诊患者的影响,为合理分配急诊资源提供依据。方法收集2019年1月1日-2021年12月31日某院急诊患者信息,回顾性分析3年间患者年龄、就诊专业、预检分诊、症状和疾病种类等分布特点。结果共收集患者521229例,剔除不符合纳入标准1362例,符合标准病例519867例。其中男女比例为1:1.16,平均年龄50.76±20.176岁,以60岁~79岁和40岁~59岁年龄段相对集中。与2019年1级、2级、3级、4级患者比较,2020年各级均有下降,分别为-50.99%、-60.18%、-45.47%和-10.71%;2021年分别为-46.54%、-44.44%、-47.35%,+21.13%。按专业分布,2020年度以职业病科、急诊眼科、急诊耳鼻喉科、急诊内科下降最多,分别-57.23%、-45.48%、-41.06%和-30.50%;而急诊外科和急诊妇科在2021年度上涨了3.2%和75.35%。按症状分布,以腹痛、头痛、头晕、胸痛、胸闷、心悸患者逐年上升;发热、咳嗽、呕吐逐年减少;喘憋先下降后上升。按疾病分布,以呼吸道感染性疾病逐年下降,心脑血管疾病逐年上升趋势。1级患者,2019年第一季度到第四季度下降显著;2020年和2021年4个季度基本稳定;1级患者中60岁以上者占比51.3%-73.17%。结论公共卫生事件常态下急诊患者出现骤然下降后逐渐上升接近恢复常态;老年患者恢复迅速,其中老年重症患者比例较高,特别是心脑血管疾病重症患者。
Objectives This study aims to analyze the disease spectrum of patients treated in the emergency medicine department of a hospital in the past three years and explore the impact of large public health events on patients visiting emergency departments,so as to provide a basis for rational allocation of emergency resources.Methods Information on emergency patients in a hospital from January 1,2019 to December 31,2021 was collected.The distribution characteristics of patients'age,medical specialty,pre-examination and triage,symptoms and disease types during the three-year period were retrospectively analyzed.Results Retrospective analysis showed that a total of 521,229 patients were collected,1,362 cases that did not meet the inclusion criteria were eliminated,and 519,867cases met the criteria.The male-to-female ratio was 1:1.16.The average age was 50.76±20.176 years old,and the age groups were relatively concentrated between 60 and 79 years old and 40 and 59 years old.Compared with Grade 1,Grade 2,Grade 3 and Grade 4 patients in 2019,all levels decreased in 2020,which were-50.99%,-60.18%,-45.47%and-10.71%,respectively.In 2021,it was-46.54%,-44.44%,-47.35%and+21.13%,respectively.Distribution by specialty,occupational diseases,emergency ophthalmology,emergency otolaryngology,and emergency internal medicine dropped the most in 2020,by-57.23%,-45.48%,-41.06%,and-30.50%respectively.However,emergency surgery and emergency gynecology increased by 3.2%and 75.35%in 2021.According to the distribution of symptoms,the number of patients with abdominal pain,headache,dizziness,chest pain,chest tightness,and palpitations was increasing year by year.The number of patients with fever,cough and vomiting was decreasing year by year.The number of patients with wheezing first decreased and then increased.In terms of disease distribution,respiratory infectious diseases were declining year by year,while cardiovascular and cerebrovascular diseases were increasing year by year.The number of Grade 1 patients dropped significantly from the f
作者
左冬晶
刘敏
马帅
赵丽新
郭树彬
何新华
Zuo Dongjing;Liu Min;Ma Shuai;Zhao Lixin;Guo Shubin;He Xinhua(不详;Beijing Key Laboratory of Cardiopulmonary and Brain Resuscitation,Emergency Department,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China)
出处
《中国病案》
2024年第8期25-28,共4页
Chinese Medical Record
基金
北京市首发基金资助项目(2022-3-20311)。
关键词
公共卫生事件
常态化防控
分级诊疗
病谱分析
急诊医学
Public health events
Regular prevention and control
Hierarchical diagnosis and treatment
Disease spectrum analysis
Emergency medicine