首页|某院2018-2023年住院患者疾病谱变化分析

某院2018-2023年住院患者疾病谱变化分析

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目的 分析上海市郊区某三级乙等综合医院住院患者疾病谱变化情况,为医院精准把握学科发展方向提供参考.方法 收集并整理上海市郊区某三级乙等综合医院 2018 年 1 月 1 日-2023 年 12 月 31 日期间出院患者 253 002例的住院病案首页信息,对诊断按照ICD-10编码进行分类,分析住院患者疾病谱变化.结果 不同年份,疾病谱前 10位的顺位排序变化明显;呼吸系统疾病和妊娠、分娩和产褥期分别在男性与女性住院患者疾病顺位中位列第 1 位;呼吸系统疾病在 0 岁~20 岁组和 80 岁以上组中位列疾病谱顺位第 1,妊娠、分娩和产褥期在 21岁~35岁组中位列疾病谱顺位第 1,消化系统疾病在 36岁~65岁组中位于疾病谱顺位第 1,循环系统疾病在 66 岁~80 组中位于疾病谱顺位第 1.结论 循环系统疾病、呼吸系统疾病、消化系统疾病以及妊娠、分娩和产褥期需要重点关注,同时结合性别、年龄、有无突发情况等特点关注疾病谱变化进行疾病预防,合理优化卫生资源配置.
Analysis on Changes in the Disease Spectrum of Hospitalized Patients in a Certain Hospital from 2018 to 2023
Objectives To analyze the changes in the disease spectrum of inpatients in a tertiary and first-class comprehensive hospital in the suburbs of Shanghai,and provide reference for hospitals to accurately grasp the direction of disciplinary development.Methods To collect and organize the homepage information of inpatients in a certain hospital from January 1st,2018 to December 31st,2023,classify diagnosis according to ICD-10 coding,and analyze changes in the disease spectrum of inpatients.Results A total of 253002 hospitalized patients were admitted;The ranking of the top 10 diseases in the disease spectrum had undergone significant changes in different years;Respiratory system diseases and pregnancy,childbirth,and postpartum period ranked first in the disease ranking of male and female hospitalized patients,respectively;Respiratory system diseases ranked first in the disease spectrum in the 0-20 year old group and the 80 year old and above group,pregnancy,childbirth,and postpartum period ranked first in the disease spectrum in the 21-35 year old group,digestive system diseases ranked first in the disease spectrum in the 36-65 year old group,and circulatory system diseases ranked first in the disease spectrum in the 66-80 year old group.Conclusions Diseases of the circulatory system,respiratory system,digestive system,pregnancy,delivery,and postpartum period required special attention.At the same time,based on characteristics such as gender,age,and the presence of emergencies,disease spectrum changes should be taken into account for disease prevention,and the allocation of health resources should be reasonably optimized.

Hospitalized patientsDisease spectrumTrend of change

韩行、严春苗

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复旦大学附属浦东医院,上海市,201399

住院患者 疾病谱 变化趋势

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(12)