东莞市65岁及以上老年住院患者死因分析

Analysis of Causes of Death in Elderly Inpatients Aged 65 Years and Over in Dongguan City

目的了解东莞市65岁及以上老年住院患者死亡流行特征及住院死亡疾病构成,为相关部门的卫生预防与保健工作提供科学依据。方法通过"广东省医疗机构病案统计管理系统"选取2015年全年东莞市收治的65岁及以上住院患者中死亡患者959例,调查住院死亡疾病构成,分析其年龄分布、性别分布、死亡季节分布等情况。结果住院死亡疾病构成前五位分别是恶性肿瘤、缺血性心脏病、脑血管病、肺炎、损伤,占死亡人数的65.17%。不同性别组病死率比较,差异均有统计学意义(P<0.05)。不同年龄组病死率比较,差异均有统计学意义(P<0.05)。死亡季节分布以春夏季为最高。结论掌握老年住院患者住院死亡疾病情况,加强健康教育,可降低病死率,提高老年人生存质量。

Objective To understand the epidemiological characteristics and hospitalization death disease composition of elderly hospitalized patients aged 65 years and over in Dongguan city,and provide scientific basis for the health prevention and health care work of relevant departments. Methods Through the ＂ Guangdong province medical institutions medical records statistics management system＂ selected in 2015 in Dongguan city,65 years old and over hospitalized patients with death of 959 cases,investigated the hospitalization death disease composition,analysis of its age distribution,gender distribution,the distribution of the season of death and so on. Results The top five hospitalization death disease composition were Malignant neoplasms,Ischaemic heart diseases,Cerebrovascular diseases,Pneumonia and Injury,accounting for 65. 17% of the deaths. There were significant differences in mortality among different gender groups（ P〈0. 05）. There were significant differences in mortality among different age groups（ P〈0. 05）. The distribution of death season is the highest in spring and summer. Conclusion To master the hospitalization death disease composition of elderly hospitalized patients,strengthen health education,reduce mortality and improve the quality of life of the elderly.