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某医院190例住院死亡病例分析

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目的 探讨儋州市某医院内 190 例住院死亡病例特点及影响因素,为提高医疗服务质量,降低病死率提供有效依据.方法 将 2020年 1 月 1 日-2021 年 12月 1 日期间在儋州市某医院住院的 190 例死亡病例信息进行汇总整理,依据国际疾病分类 ICD-10 编码原则明确纳入死亡病例的死因情况并对应进行分类,观察研究期间院内死亡病例年度病死率情况、对比死亡病例性别、年龄、死因分布情况.单因素、多因素Logistic回归分析住院死亡的影响因素.结果 2 年内年总病死率为 0.60%,其中 2021 年病死率更高(0.63%);男性病死率为 0.70%(117/16823);女性病死率 0.49%(73/14839),死亡男女比例为 1.60:1,院内患者中男性病死率明显高于女性,不同性别病死率差异有统计学意义(χ2=5.475,P=0.019);获取数据中,死亡例数年龄均值为(73.16±26.10)岁,≥60 岁的老年病死率 84.74%(161/190),住院死亡例数随着年龄的升高呈现上升趋势,病死率最高的为≥90 岁组(占比 7.24%),不同年龄组病死率对比具有统计学差异(χ2=33.263,P<0.001);纳入的 190 例死亡病例在病因方面多集中于前 5 顺位(累计占比 88.95%),按占比情况依次为肿瘤、循环系统疾病、呼吸系统、传染性疾病、消化系统相关病症;≥60 岁、男性与肿瘤疾病、呼吸系统疾病的病死率明显升高且均是住院死亡的独立危险因素.结论 恶性肿瘤、呼吸道疾病是主要致死疾病,应针对存在致死风险因素的住院患者进行重点筛查,进一步为医院管理及疾病预防控制提供参考.
Analysis of 190 Cases of Inpatient Death in a certain Hospital
Objectives To investigate the characteristics and influencing factors of 190 cases of inpatient death in a hospital of Danzhou city,so as to provide an effective basis for improving the quality of medical service and reducing the fatality rate.Methods The information of 190 cases of death admitted to a hospital in Danzhou city from January 1st,2020 to December 1st,2021 was summarized and sorted,and the cause of death of the cases was clearly included and classified according to the ICD-10 coding principle.The annual mortality rate of hospital deaths during the study period was observed,and the distribution of gender,age and cause of death of the dead cases was compared.The influencing factors of in-hospital death were analyzed by univariate and multivariate Logistic regression.Results The total annual case fatality rate within 2 years was 0.60%,among which the case fatality rate in 2021 was higher(0.63%);the case fatality rate of men was 0.70%(117/16823);the case fatality rate of women was 0.49%(73/14839).The fatality rate of male patients in the hospital was significantly higher than that of female patients,and the difference in fatality rate between different genders was statistically significant(χ2=5.475,P=0.019);in the obtained data,the average age of the death cases was(73.16±26.10)Aged mortality≥60 years 84.74%(161/190),and the number of in-hospital deaths showed an upward trend with increasing age.There was a statistically significant difference in the case fatality rate among different age groups(χ2=33.263,P<0.001);the etiology of the 190 cases included in the death cases was mostly concentrated in the top 5(accumulative proportion 88.95%).Tumor,circulatory system disease,respiratory system,infectious disease,digestive system related diseases;The mortality of male≥60 years old,tumor disease and respiratory disease increased significantly and were independent risk factors for hospitalization death.Conclusions Malignant tumors and respiratory diseases were the main causes of death.Screening should be focused on inpatients with risk factors of death to further provide references for hospital management and disease prevention and control.

Hospitalized patientsCause of deathCharacteristics

白飏、李恒、王艳良

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儋州市人民医院,海南省,儋州市,571799

海南西部中心医院内分泌科,海南省,儋州市,571700

住院患者 死亡原因 特点

海南省卫生健康行业科研项目

20A200359

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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