首页|2014年-2021年某三甲医院外科住院死亡患者死因分析

2014年-2021年某三甲医院外科住院死亡患者死因分析

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目的 通过分析外科住院患者死亡病例资料,了解其死因构成、分布特点及变化趋势,为医院管理提供线索.方法 回顾性分析提取北京某三甲医院2014年1月1日-2021年12月31日病案信息系统中外科系统全部死亡病例903例资料,并根据国际疾病分类标准ICD-10对死因统一编码,使用Excel2010及SPSS 22.0统计分析软件进行分析.结果 在8年所有外科系统死亡病例中,男性与女性死亡比为1.82:1,不同年份死亡病例性别构成差异无统计学意义(x2=13.997,P>0.05).60岁以上年龄组死亡占比最高,为66.8%,各年份间年龄构成差异有统计学意义(x2=59.254,P<0.05).死因顺位前5位疾病为循环系统疾病(42.7%)、消化系统疾病(12.3%)、肿瘤(11.6%)、损伤和中毒(9.4%)、呼吸系统疾病(6.8%).结论 死亡例数前3位的科室为神经外科、血管外科、普通外科,死因顺位首位的分别为脑出血、脑梗死、急性胰腺炎.应加强对老年人早筛、早诊、早治,注重慢性疾病的预防,加强男性健康教育和健康筛查以提高健康水平.
Analysis of Causes of Death Among Inpatients Who Died in the Surgical Department of a Tertiary Hospital from 2014 to 2021
Objectives This study aims to understand the composition,distribution characteristics,and changing trends of the causes of death by analyzing the death cases of surgical inpatients,so as to provide clues to hospital management.Methods Retrospective analysis was conducted to extract data on all 903 death cases in the surgical system from the medical record information system of a tertiary hospital in Beijing from January 1,2014 to December 31,2021.The coding of causes of death was unified according to the International Classification of Diseases(ICD10),and EXCEL2010 and SPSS 22.0 statistical analysis software were used for analysis.Results Among all surgical system deaths in 8 years,the male-to-female death ratio was 1.82:1.There was no statistically significant difference in the gender composition of death cases in different years(x2=13.997,P>0.05).The age group over 60 years old accounted for the highest proportion of deaths,at 66.8%.The age composition difference between each year was statistically significant(x2=59.254,P<0.05).The top five causes of death were circulatory system diseases(42.7%),digestive system diseases(12.3%),tumors(11.6%),injuries and poisoning(9.4%),and respiratory system diseases(6.8%).Conclusions The top three departments with the highest number of deaths are neurosurgery,vascular surgery,and general surgery.The top causes of death are cerebral hemorrhage,cerebral infarction,and acute pancreatitis.Early screening,early diagnosis,and early treatment of the elderly should be strengthened,and attention should be paid to the prevention of chronic diseases.Hospitals should strengthen males'health education and health screening to improve health.

Tertiary hospitalCause of death analysisSurgical systemInpatient

纪雄麒、黄昊、邓应梅

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首都医科大学宣武医院,北京市,100053

三甲医院 死因分析 外科系统 住院患者

2024

中国病案
中国医院协会

中国病案

CSTPCD
影响因子:1.197
ISSN:1672-2566
年,卷(期):2024.25(1)
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