广州市某三甲医院2014—2018年急诊科死亡病例统计分析

Statistical analysis of death cases in the emergency department of a tertiary hospital in Guangzhou from 2014 to 2018

目的分析广州市某三甲医院近5年急诊科死亡病例的死亡原因及分布规律,为进一步提高医院急诊救治水平,制定预防措施,提供参考依据。方法回顾性分析2014—2018年1588例急诊科死亡病例,采用国际疾病分类标准(ICD-10)进行死因编码,运用描述性统计和分析性研究方法,分析该院急诊科死亡病例的流行病学特征。结果1588例急诊死亡中男性多于女性(男女比例为1.42∶1),年龄组中死亡病例最多为80~89岁(34.13%)。结论根本死因中循环系统疾病(I00~I99)为首位(39.86%);第2位是肿瘤(C00~D48),占比为22.10%;第3位是呼吸系统疾病(J00~J99),占比为21.47%。建议定期健康体检,关注高龄人群和男性群体,做好高龄人群肿瘤的早期筛查,完善社区健康管理,提高居民健康意识,倡导健康生活方式,完善急救救治体系,降低急诊死亡风险。

Objective To analyze the cause of death and distribution rule of emergency death in a tertiary hospital in Guangzhou in the past five years,in order to further improve the emergency treatment level of the hospital,and formulate preventive measures and provide reference basis.Methods A retrospective analysis of 1588 deaths was conducted in the emergency department from 2014 to 2018.The International Classification of Diseases(ICD-10)was used to encode the cause of death,and descriptive statistics and analytical methods were used to analyze the epidemiological characteristics of the deaths in the Emergency Department of the hospital.Results Among the 1588 emergency deaths,males were more than females(male to female ratio 1.42∶1),and the maximum number of deaths was in the group of 80-89 years old(34.13%).Conclusion Among the root causes of death,circulatory disease(I00-I99)ranked the first(39.86%),the second was tumor(C00-D48),accounting for 22.10%,and the third was respiratory diseases(J00-J99),accounting for 21.47%.It is suggested to conduct regular physical examination,pay attention to the elderly and male groups,conduct early screening for elderly people and cancer patients,improve community health management,raise residents′health awareness,advocate healthy lifestyle,improve the first-aid treatment system,and reduce the risk of death in emergency.