云南某综合医院2004年-2013年住院死亡病例分析

Hospitalized Death Cases in A General Hospital from 2004 to 2013 in Yunnan

目的分析云南某综合医院10年住院死亡病例疾病构成特点。方法按ICD-10疾病分类编码,通过病案管理信息系统统计2004年-2013年在某院住院的死亡病例基本信息,用Excel和SPSS16.0统计软件进行分析。结果前五位死因分别为循环系统疾病占26.34%,肿瘤占15.09%,损伤和中毒疾病占12.85%,呼吸系统疾病占12.39%和消化系统疾病占8.28%;不同民族、性别之间病死率有差异;死亡高发年龄段为70岁以上。结论应有效控制和预防前五位系统疾病:循环系统疾病、肿瘤、损伤和中毒疾病、呼吸系统疾病和消化系统疾病。加强70岁以上和5岁以下人群的疾病预防,建立建全医疗保障制度;降低病死率。

Objective To analyze disease characteristics of hospitalized death cases in a general hospital in 10 years in yunnan. Methods Count the basic information of death cases in medical record information management system from 2004 to 2013 according to the ICD-10 disease classification, and analyze it by excel and SPSS16.0.Results The top five causes of death respectively are circulation system disease 26.34%, tumour 15.09%, injury and poisoning disease 12.85%, disease of respiratory system12.39%, and digestive system disease 8.28%. There are differences in fatality rate between different nationalities and gender. A high incidence of death age is above 70 years old. Conclusion Diseases of the top five systems should be effective controlled and prevented： Circulatory system disease, tumor, injury and poisoning disease, respiratory disease and digestive system disease. Strengthen the disease prevention of people above the age of 70 years and less than 5 years old. Establish the medical security system, and decrease the mortality.