2010年-2019年广西某医院住院患者死亡病例分析

Analysis of Death Cases of Inpatients in a Hospital in Guangxi from 2010 to 2019

目的分析广西某医院2010年-2019年住院患者死亡病例,了解10年间医院疾病分布情况及变化特点,为提高危重疾病的诊疗水平和医院的管理水平提供依据。方法收集2010年-2019年广西某医院住院患者中出院方式为死亡的病例数据,参照国际疾病分类编码ICD 10标准对主要疾病进行分类,分析死亡患者变化趋势,疾病分布情况及变化特点。结果住院患者共523501例,其中死亡2608例,病死率为0.50%;男性死亡率为0.70%,高于女性的0.32%,差异有统计学意义(P<0.05);不同年龄段患者住院病死率比较,差异有统计学意义(P<0.05);前五位死因顺位为恶性肿瘤(22.04%)、循环系统疾病(18.05%)、呼吸系统疾病(13.15%)、某些传染病和寄生虫(12.34%)和消化系统疾病(8.85%);19岁及以下住院患者的首要死因是呼吸系统疾病;20-59岁住院患者的首要死因是恶性肿瘤疾病;60岁及以上住院患者的首要死因是循环系统疾病。结论广西某医院的住院患者病死率逐年下降,死因具有性别差异和年龄差异,依据死亡患者的死因分类,恶性肿瘤和心脑血管疾病较为突出,提示应当重点关注此类人群的健康问题,同时医院及时优化资源配置,提升医院管理,以达到降低病死率的目的。

Objective To analyze the death cases of inpatients in a hospital in Guangxi from 2010 to 2019,to understand the distribution of hospital diseases and the characteristics of changes in the past 10 years,and to provide a basis for improving the diagnosis and treatment of critical diseases and the management of the hospital.Methods The data of death cases among inpatients in a hospital in Guangxi from 2010 to 2019 were collected.The main diseases were classified according to the International Classification of Diseases Code ICD 10 standard,and the trends of deaths,disease distribution and change characteristics were analyzed.Results There were a total of 523501 hospitalized patients,of which 2608 died,with a case fatality rate of 0.50%;the mortality rate for men was 0.70%,which was higher than 0.32%for women,the difference was statistically significant(P<0.05);There was a statistically significant difference in the hospital mortality rate of patients of different age groups(P<0.05);The top five causes of death were malignant tumors(22.04%),circulatory diseases(18.05%),respiratory diseases(13.15%),certain infectious diseases and parasites(12.34%)and digestive system diseases(8.85%);The leading cause of death for hospitalized patients aged 19 and under was respiratory disease;the leading cause of death for hospitalized patients aged 20 to 59 was malignant tumor disease;The leading cause of death for hospitalized patients 60 years and older was circulatory system disease.Conclusion The mortality rate of inpatients in a hospital in Guangxi is decreasing year by year,and the cause of death has gender differences and age differences.According to the classification of the cause of death of the dead patients,malignant tumors and cardiovascular and cerebrovascular diseases are more prominent,suggesting that attention should be paid to the health problems of such people.At the same time,the hospital optimizes the allocation of resources in a timely manner and improves the management of the hospital in order to achieve the purpose of reducing the mortality rate.