Composition analysis of Orthopedic Disease Spectrum in a Municipal Tertiary Hospital from 2019 to 2022
Objectives This study aims to analyze the disease composition of orthopedic inpatients in a tertiary hospital and provide a theoretical basis for the prevention and treatment of orthopedic diseases and the development of specialized departments.Methods A total of 20862 medical records of all discharged orthopedic patients from a municipal tertiary hospital from January 1,2019 to December 31,2022 were selected.According to the ICD-10 standard classification,the composition of orthopedic diseases in the hospital was analyzed by Pareto chart,and the data were statistically analyzed by SPSS27.0.Results Removal of internal fixation devices,femoral fractures,shoulder and upper arm fractures,lumbar and other intervertebral disc diseases,lower leg(including ankle)fractures,osteoporosis with pathological fractures,lumbar and pelvic fractures,fractures at the wrist and hand levels,forearm fractures,and osteoporosis without pathological fractures were the top 10 diseases among orthopedic discharged patients from 2019 to 2022,accounting for 55.87％.Among them,the removal of internal fixation devices ranked first,accounting for 9.07％.The discharged patients were concentrated in the age group ≥ 60 years old,with femoral fractures being the most common(15.12％).This was followed by patients in the 40-49 and 50-59 age groups.The disease spectrum distribution of discharged orthopedic patients in different years and ages was different,and the difference was statistically significant.Conclusions There is little change in the order of the disease spectrum of discharged orthopedic patients,and there is consistency.The prevention and treatment of fracture diseases,lumbar disc disease,and osteoporosis diseases should be strengthened to improve clinical medical management and continuously improve the quality and efficiency of medical care.
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