首页|997例入院24小时内死亡病例分析

997例入院24小时内死亡病例分析

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目的 分析某院入院24小时内死亡病例特征,为提高医疗质量提供参考.方法 对某医院2018年1月1日-2022年12月31日入院24小时内死亡病例各年度病死率、年龄、性别、入院途径、死亡病例风险分级、死因构成进行分析.结果 2018年-2022年入院24小时内病死率0.15%,男性患者638例,女性患者359例,男女比例1.78:1,以70岁~79岁年龄组占比最高;入院24小时内死亡病例入院途径以急诊为主,占比62.39%,死亡风险分级以高风险死亡为主,占比65.4%;主要死因前3位分别是循环系统疾病(46.04%)、损伤、中毒和外因的某些其他后果(13.94%)、呼吸系统疾病(11.74%).结论 60岁及以上患者是入院24小时内死亡高危人群,心脑血管、创伤、中毒和呼吸疾病是造成入院24小时内死亡的主要原因,应重点关注.低风险死亡病例和门诊途径入院死亡病例存在质量和安全风险,需加强管控.
Statistical Analysis of 997 Death Cases within 24 Hours of Admission
Objectives This study aims to analyze the characteristics of death cases within 24 hours of admission to a certain hospital to provide a reference for improving medical quality.Methods The annual case fatality rate,age,gender,admission route,risk classification,and cause of death of patients who died within 24 hours of admission to a hospital were analyzed for the period from January 1,2018,to December 31,2022.Results Between 2018 and 2022,the mortality rate within 24 hours of admission was 0.15%,comprising 638 male patients and 359 female patients,resulting in a male-to-female ratio of 1.78:1.The highest case fatality rate was in the group aged 70-79.Patients who died within 24 hours of admission were predominantly admitted to the emergency room,accounting for 62.39%of cases.The death risk classification was predominantly high-risk,representing 65.4%of cases.The top three main causes of death were circulatory system diseases(46.04%),injuries,poisoning and certain other consequences of external causes(13.94%),and respiratory system diseases(11.74%).Conclusions Patients aged 60 and above are at a higher risk of death within 24 hours of admission.The main causes of death within this timeframe include cardiovascular and cerebrovascular diseases,trauma,poisoning,and respiratory diseases,which should be given particular attention.There are quality and safety risks associated with low-risk death cases and cases admitted through outpatient services,highlighting the need for strengthened management and control measures.

Death casesHospitalized patientsAnalysis on cause of deathMedical quality

刘思洋、曹佩

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湖北文理学院附属医院,襄阳市中心医院,湖北省,襄阳市,441000

湖北医药学院附属襄阳市第一人民医院输血科,湖北省,襄阳市,441000

死亡病例 住院患者 死因分析 医疗质量

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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