江门市2009—2018年住院患者死因调查分析

Death causes among inpatients in Jiangmen city: 2009 – 2018

目的分析广东江门市住院患者的死亡原因,为制定卫生防治政策提供参考意义。方法收集江门市大型三级医院2009—2018年住院患者死亡病例信息,疾病分类按照ICD-10分类标准进行分类,进行回顾性分析。结果2009—2018年的出院总人数为1049595例,其中总死亡例数为7935例,10年平均病死率为0.76%,病死率呈逐年下降趋势,男性的病死率要高于女性,60~69岁组和70~80岁组所占比例最多,死亡人数以第一季度最多,肿瘤为第一死因。结论根据死亡疾病谱的发展趋势,制定相关卫生保健政策,提高医疗诊治水平。

Objective To analyze causes of death in hospitalized patients in Jiangmen city and to provide references for developing disease prevention policies. Methods Data on patients hospitalized in tertiary hospitals in Jiangmen city of Guangdong province from 2009 through 2018 were collected and analyzed retrospectively. The causes of deaths among the inpatients were classified according to International Statistical Classification of Diseases and Related Health Problems, Tenth Revision(ICD-10). Results During the 10-year period for the hospitals surveyed, the total number of hospital discharges was 1 049 595 and the total number of deaths was 7 935,with an average case fatality rate of 0.76%; the case fatality rate decreased yearly and the rate was higher among male inpatients than that among the female inpatients. Of all the hospital deaths, 21.4% and 20.1% were aged 60 – 69 and 70 – 80 years. More hospital deaths occurred in the first quarter of a year and the first cause of death was malignant tumor for all the deaths. Conclusion The change trend in spectrum of death causes should be concerned when developing health care policies.