2006-2009年青海省疾病监测点死因监测情况分析

The causes of death in Qinghai province,2006-2009

目的了解青海省2006-2009年死因监测系统及导致死亡主要疾病的流行病学特征。方法 (1)对监测系统报告资料进行数据流行病学特征和报告质量评价(根本死因编码等情况)。(2)根据死因网络直报督导方案,定期对监测点各级疾病预防控制中心和医疗机构开展督导检查,并将督导结果及时反馈相关部门予以通报。(3)为校正死亡率定期在监测点开展死因漏报调查。结果 2006-2009年疾病监测点居民平均死亡率为475.68/10万,其中男性为571.26/10万、女性为378.72/10万。死亡病例报告及时率为66.39%、审核率为99.83%、迟审率为3.21%、死因诊断不明比例为1.20%、伤害意图不明比例为0.22%、心血管病缺乏诊断意义比例为0.84%、肿瘤未指明位置比例为0.01%及呼衰、肝衰、肾衰比例为0.71%。前五位死因为循环系统疾病、呼吸系统疾病、恶性肿瘤、损伤中毒及消化系统疾病。各级各类医疗机构死亡病例漏报率为26.23%、卡片填写完整率为81.96%、迟报率为10.86%、错填率为20.18%、错录率为19.11%、第二联上报数与存根相符率为89.40%;2009年漏报率为37.52%,校正死亡率为726.09/10万。结论通过定期对监测数据的分析、对各报告单位的督导检查及开展死因漏报调查工作,并将结果及时反馈各相关部门,是确保数据质量逐年上升的重要监测手段。

Objective To evaluate the quality of mortality surveillance system and explore the epidemiological characteristics of causes of death in Qinghai.Methods The mortality data of provincial CDC surveillance system were compared with that of vital registration from hospitals and other sources.The causes of death were analyzed and the quality of the surveillance system was investigated with the data of 2006-2009.Results The population mortality rate was 475/100 000 person-years on average（male：571/100 000;female： 379/100 000） in the area.The proportion of timely death reporting,verification of causes of death and delayed verification of causes of death were 66.39%,99.83% and 3.21%,respectively.The most common cause of death was cardiovascular diseases,followed by respiratory diseases,carcinoma,injury death and disease of digestive system.The proportion of failure to report mortality cases,incompleteness of the vital registration cards,delay in death report and inaccuracy of data submitted by hospitals were 26.23%,18.04%,10.86% and 20.18%,respectively.Conclusion The quality of mortality surveillance data need to be improved by joint efforts of CDC,hospitals,other related agencies and residents.