某综合医院2013—2016年住院死亡病例分析

Analysis on hospitalized death cases in a general hospital during 2013—2016

目的通过分析医院住院死亡病例信息,明确该院住院患者死因分布情况,为医院进一步改善医疗质量、促进医院发展提供线索和依据。方法依据国际疾病分类-10编码原则,以根本死因作为分类标准,对2013—2016年该院住院死亡患者性别、年龄及死因构成等进行分类汇总,应用SPSS13.0统计软件进行数据分析。结果 2013—2016年该院病死率为1.75%(976/55 676),标化病死率逐年下降,由2013年的0.48%下降至2016年的0.43%。男性病死率[2.62%(552/976)]高于女性[1.22%(424/976)],差异有统计学意义(χ2=148.78,P<0.05)。>80~90岁年龄组死亡人数最多,占40.37%(394/976)。排名前5位的死因分别为心血管疾病[25.00%(244/976)]、脑血管疾病[22.34%(218/976)]、呼吸系统疾病[21.93%(214/976)]、恶性肿瘤[9.12%(89/976)]、消化系统疾病[8.61%(84/976)]。结论医院应根据住院患者死因构成情况,加强宣传疾病预防康复知识,医务人员有针对性地进一步学习专业技术,更好地为患者服务。

Objective To clarify the distribution situation of death causes by analyzing the information of hospitalized death cases in order to provide the clue and basis for the hospital further improving the medical quality and promoting hospital development.Methods According to the International Classification of Diseases-10 Coding Principle and with the primary cause of death as the classification criteria,the sex,age and death cause formation of hospitalized death cases during 2013—2016 were performed the classified summation by using SPSS13.0 statistical software.Results The mortality rate of the hospital was 1.75%(976/55 676)during 2013—2016,the standardized fatality rate was decreased year by year,which was decreased from 0.48% in 2013 to 0.43% in 2016.The male fatality rate was higher than female fatality rate[2.62%(552/976)vs.1.22%(424/976)],the difference was statistically significant(χ~2=148.78,P<0.05).The death cases number in the >80-90 years old group was maximal,accounting for 40.37%.The top 5 places of death causes were cardiovascular diseases[25.00%(244/976)],cerebrovascular diseases[22.34%(218/976)],respiratory diseases [21.93%(214/976)],malignant tumors[9.12%(89/976)]and digestive system diseases [8.61%(84/976)].Conclusion The hospital should strengthen the propaganda of disease prevention and rehabilitation knowledge according to the inpatients death cause formation and the medical staff should further study the professional skill and serve the patients better.