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2019年-2021年某三甲医院两院区急诊死亡病例分析

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目的 通过对某三甲综合医院两院区急诊死亡病例的分析与比较,了解其所在区域急诊死亡患者的流行病学特点,为制定切实有效的干预措施提供依据.方法 回顾性分析2019年1月1日-2021年12月31日2 239例急诊死亡病例,采用国际疾病分类标准(ICD-10)进行死因编码,运用描述性统计和卡方检验等方法,分析两院区急诊死亡病例的流行病学特征.结果 中心院区男女性别比例为1.49:1,副中心院区为2.02:1,差异有统计学意义(P=0.02);在年龄分布上,占比随年龄段增长而增加,其中30岁以下、50岁~59岁、70岁~79岁及80岁及以上年龄段两院区比较差异有统计学意义(P<0.001);根本死因前5位为循环系统疾病、恶性肿瘤、呼吸系统疾病、消化系统疾病和猝死,中心院区因呼吸系统疾病和消化系统疾病导致的死亡患者占比高于副中心院区,副中心院区因循环系统疾病和损伤、中毒、意外伤害等导致的死亡患者占比则高于中心院区,差异有统计学意义(P<0.05).结论 建议重视对男性和老年人群的健康教育,以及循环系统疾病、肿瘤和呼吸系统疾病的预防和治疗.在农村地区,还需加强安全教育,提高居民健康素养;同时,改善中心城区居住环境,倡导居民健康生活,以降低急诊死亡的风险.
Analysis of Emergency Death Cases in Two Campuses of a Tertiary Hospital from 2019 to 2021
Objectives This study aims to understand the epidemiological characteristics of emergency death patients in two campuses of a tertiary general hospital through the analysis and comparison of emergency death cases in these two areas,so as to provide a basis for formulating effective intervention measures.Methods 2,239 emergency department deaths from January 1,2019 to December 31,2021 were retrospectively analyzed.The International Classification of Disease(ICD-10)was used to encode the cause of death,and descriptive statistics and Chi square test were used to analyze the epidemiological characteristics of deaths in the Emergency Department of the two campuses.Results The male-to-female ratio in the central hospital was 1.49:1,and that in the sub-central hospital was 2.02:1.The difference was statistically significant(P=0.02).In terms of age distribution,the population increased with the age group.Among them,there were statistically significant differences between the two hospital areas in the age groups under 30 years old,50 to 59 years old,70 to 79 years old,and 80 years old and above(P<0.001).The top five fundamental causes of death were circulatory system diseases,malignant tumors,respiratory system diseases,digestive system diseases,and sudden death.The proportion of deaths caused by respiratory and digestive system diseases in the central campus was higher than that in the sub-central campus,while the proportion of deaths caused by circulatory system diseases and injuries,poisoning,accidental injuries,etc.in the sub-central campus was higher than that in the central campus.The differences were statistically significant(P<0.05).Conclusions It is recommended to pay attention to health education for men and the elderly,as well as the prevention and treatment of circulatory system diseases,tumors and respiratory system diseases.In rural areas,it is also necessary to strengthen safety education and improve residents'health literacy.At the same time,the living environment in central urban areas should be improved and residents should be encouraged to live a healthy life to reduce the risk of emergency deaths.

EmergencyDeath caseUnderlying death causeUrban and rural areasHealth education

刘燕瑜、崔树峰、周春莲

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首都医科大学附属北京友谊医院,北京市,100050

急诊 死亡病例 根本死因 城乡 健康教育

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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