2012—2018年某三甲教学医院住院患者死亡病例统计分析

Analysis of deaths of inpatients in a tertiary teaching hospital from 2012 to 2018

目的通过对广州某三甲教学医院2012—2018年住院患者死亡病例的统计分析,了解该院住院患者死因构成的变化情况。方法利用该院病案信息系统检索到研究年限内死亡病例3243例,对病例的年龄、性别、死亡主要诊断等方面资料进行整理,采用SPSS 23.0软件进行数据统计和分析。结果2012—2018年,该院住院患者死亡共3243人;死亡患者男女性别比为1.59;60岁以上住院患者死亡人数超过全部死亡人数的一半(占57.63%);不同性别间,30~69岁患者男性死亡占比高于女性,以40~49岁组的男女差值最大(3.33%);肿瘤、循环系统疾病和呼吸系统疾病导致的死亡占比之和在各个年份中均超过65%,是导致住院患者死亡的主要病因。研究期内,肿瘤导致的死亡占比呈下降趋势,损伤与中毒导致的死亡占比则明显上升。结论肿瘤、循环和呼吸系统疾病仍是导致住院患者死亡的主要病种,需关注老年患者疾病防治情况,并从医院工作上对近年来明显增多的损伤中毒导致住院患者死亡的情况采取应对措施。

Objective To explore the trend of death causes in hospitalized patients by statistical analysis of the deaths of inpatients in a tertiary teaching hospital in Guangzhou from 2012 to 2018.Methods Totally 3243 deaths during the study period were retrieved from the medical record information system.Information including age,sex,and major diagnosis of death was analyzed by SPSS 23.0.Results From 2012 to 2018,there were 3,243 cases of deaths.The average male-female ratio of deaths was 1.59.The number of death cases over 60 years old was more than half of the total death cases(57.63%).For patients aged 30 to 69 years old,the proportion of death of male was higher than that of female,with the largest difference(3.33%)in the 40 to 49 age group.The main causes of death were tumors,circulatory diseases and respiratory diseases,which exceeded 65%in each studied year.The proportion of deaths caused by tumor diseases showed a downward trend,while that caused by injury and poisoning increased significantly.Conclusion Tumor,circulatory and respiratory diseases are still the main diseases leading to the death of hospitalized patients.It is necessary to pay attention to the prevention and treatment of diseases in elderly patients,and take measures against the increasing numbers of injuries and poisoning leading to the deaths of inpatients.