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