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.