首页|基于DRG的2017年-2021年某院60岁以上老年住院患者死亡病例分析

基于DRG的2017年-2021年某院60岁以上老年住院患者死亡病例分析

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目的 了解老年住院死亡病例的临床分布特征,为老年患者的疾病救治和医院管理提供数据参考.方法 收集广州市某三甲医院 2017 年 1 月1 日-2021年 12月 31 日的老年(年龄≥60岁)住院死亡病例的住院病案首页信息和 DRG 分组信息,按 DRG 分组特点进行分类统计.结果 共纳入老年住院死亡病例3157 例,主要疾病大类构成前 3 位为呼吸系统疾病及功能障碍、循环系统疾病及功能障碍和神经系统疾病及功能障碍;内科诊断组最多,集中在 80 岁及以上,其次为外科手术操作组,集中在 60~89 岁,最后为非手术操作组,集中在 70~89 岁;74.63%伴有并发症或合并症,其中 58.41%伴有严重并发症或合并症,主要集中在70岁及以上,且男性中有并发症或合并症的占比高于女性患者中的占比.结论 根据不同年龄段、不同性别老年住院患者的死亡情况差异,临床救治过程中应采取有针对性的诊疗方案,以提高救治效率.
Analysis of Death Cases of Elderly Inpatient Over 60 Years Old in a Hospital in Guangzhou from 2017 to 2021 Based on DRG
Objectives To explore the clinical distribution characteristics of elderly inpatients who died in hospital,and provide data reference for disease treatment and hospital management of elderly patients.Methods To collect the medical record homepage information and DRG information of elderly dead inpatients(≥60 years old)in a tertiary hospital in Guangzhou from January 2017 to December 2021.Categorize statistics of elderly dead inpatients,characteristics according to the DRG information.Results A total of 3157 elderly inpatient deaths were included.The top three major diagnostic category were respiratory system diseases and dysfunction,circulatory system diseases and dysfunction,and nervous system disease and dysfunction;The internal medicine diagnosis group had the highest concentration,concentrated in the age group of 80 and over,followed by the surgical operation group,concentrated in the age group of 60-89,and finally the non-surgical operation group,concentrated in the age group of 70-89;The proportion of elderly dead inpatients with complications or comorbidities was about 74.63%,of which 58.41%were accompanied by severe complications or comorbidities,which mainly concentrated in patients aged 70 and over,and the proportion of male patients with complications or comorbidities was higher than that of female patients.Conclusions According to the differences in mortality rates among elderly hospitalized patients of different age groups and genders,targeted diagnosis and treatment plans should be adopted in the clinical treatment process to improve treatment efficiency.

Diagnosis of disease related groupThe elderlyInpatientsCauses of death

刘芳

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广州市第一人民医院病案管理科,广东省,广州市,510180

疾病诊断相关分组 老年人 住院患者 死亡病例

广州市卫生健康科技一般引导项目

20231A010005

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(2)
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