首页|山西省31所三级综合医院2019年-2021年出院患者病种及死因分析

山西省31所三级综合医院2019年-2021年出院患者病种及死因分析

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目的 分析山西省31所三级综合医院出院患者信息特征及影响山西省人民健康的主要疾病和死亡谱,掌握病种分布情况,为合理分配医疗资源、提高医疗服务水平、做好疾病预防提供科学依据.方法 通过省级医疗数据平台收集全省31所三级综合医院2019年1月1日-2021年12月31日出院患者住院病案首页信息,按照ICD-10国际疾病分类原则,均以第一诊断为检索条件,使用Excel2016和SPSS26.0软件对出院患者病种情况进行分析.结果 3年间全省31所综合医院共收治3 410 199人次,出院患者前10种疾病顺位分别是肿瘤(8.35%)、脑梗死(4.4%)、心绞痛(3.57%)、2型糖尿病(2.93%)、肺炎(2.53%)、短暂性大脑缺血性发作和相关的综合征(2.16%)、胆石症(1.78%)、慢性阻塞性肺病(1.68%)、急性心肌梗死(1.5%)和慢性缺血性心脏病(1.18%);不同性别前10种疾病中肺炎、短暂性大脑缺血性发作和相关的综合征、慢性阻塞性肺病和慢性缺血性心脏病的病种构成差异具有统计学差异(P<0.05);疾病年龄构成中,前10位种疾病中除肺炎、胆石症和短暂性大脑缺血性发作和相关的综合征外,其余7个病种构成差异有统计学意义(p<0.05);死因顺位前3位的疾病是循环系统疾病、肿瘤和呼吸系统疾病,分别占死因构成比的29.2%、21.9%和16.8%.结论 通过疾病谱分布特征制定不同性别、不同年龄人群常见病、多发病诊治技术,重点加强肿瘤、心脑血管、呼吸相关专业的学科建设,满足辐射区域的医疗需求.
Analysis of Diseases and Causes of Death of Discharged Patients from 31 Tertiary General Hospitals in Shanxi Province from 2019 to 2021
Obiectives This study aims to analyze the information characteristics of discharged patients from 31 tertiary general hospitals in Shanxi Province and the spectrum of major diseases and deaths affecting people's health in Shanxi Province,so as to understand the distribution of disease types and provide a scientific basis for rational allocation of medical resources,improvement of medical service levels,and disease prevention.Methods The front-page information of medical records for patients discharged from 31 tertiary comprehensive hospitals in the province between January 1,2019,and December 31,2021,was collected through a provincial-level medical data platform.According to the ICD-10 International Classification of Diseases,the first diagnosis on the front page was used as the search criteria,and the disease types of discharged patients were analyzed using EXCEL2016 and SPSS26.0 software.Results A total of 3,410,199 patients were admitted to 31 general hospitals in the province in three years.The top ten diseases of discharged patients were tumor(8.35%),cerebral infarction(4.4%),angina pectoris(3.57%),type 2 diabetes(2.93%),pneumonia(2.53%),transient ischemic attack and related syndromes(2.16%),cholelithiasis(1.78%),chronic obstructive pulmonary disease(1.68%),acute myocardial infarction(1.5%),and chronic ischemic heart disease(1.18%).There were statistically significant differences in the composition of pneumonia,transient ischemic attacks and related syndromes,chronic obstructive pulmonary disease and chronic ischemic heart disease among the top 10 diseases by gender(P<0.05).In the age composition of diseases,except for pneumonia,cholelithiasis,transient ischemic attacks,and related syndromes,the other seven disease types among the top 10 had statistically significant differences(P<0.05).The top three causes of death were circulatory system diseases,tumors and respiratory system diseases,accounting for 29.2%,21.9%and 16.8%of the causes of death respectively.Conclusions Diagnosis and treatment technologies should be developed for common and frequently occurring diseases across different genders and age groups,based on the characteristics of disease spectrum distribution.This should include a focus on strengthening the discipline construction in oncology,cardiovascular and cerebrovascular diseases,as well as respiratory-related specialties,to meet the medical needs of areas affected by radiation.

Discharged patientsDiseasesCause of death

宋艳龙、王玉红

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临汾市人民医院,山西省,临汾市,041000

山西省医疗服务评价中心,山西省,太原市,030000

出院患者 病种 死因

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(7)
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