急诊留院观察非创伤患者临床特征分析

The clinical characteristics of emergency non-trauma patients admitted for observation

目的研究急诊留院观察患者的临床特征。方法选取2018-01至2020-12我院急诊留院观察非创伤成人患者的3541例相关资料进行回顾性分析。结果3541例急诊留院观察患者中,男性1947例(54.98%),女性1594例(45.02%),男女比例1.22:1;患者年龄最小16岁,最大100岁,平均年龄61.16±16.52岁。所有患者年龄统计中,呼吸系统疾病患者平均年龄最大,为75.08±13.74岁,中毒患者的年龄最小为37.49±11.40岁,与其他病种相比P<0.05,差异有统计学意义。疾病谱构成统计中,神经系统疾病的患者占比最高,为34.96%。与总体性别比例比较,神经系统、循环系统疾病以男性发病居多,中毒、内分泌及代谢疾病、其他及诊断不明确患者以女性患者为多,差异均具有统计学意义(P<0.05)。结论针对留院观察患者的疾病谱分析情况有针对性地准备工作,可以科学合理地安排急诊观察室的工作,以提高临床的救治效果。

Objective To investigate the disease characteristics of emergency patients admitted for observation.Methods A retrospective analysis was carried out on the 3541 emergency non-trauma patients admitted to the Emergency Department of our hospital from January 2018 to December 2020.Results There were 1947 males(54.98%)and 1,594 females(45.02%),with the male to female ratio being 1.22:1.The youngest was 16 years old and the oldest was 100 years old,with the average age range being 61.16±16.52 years old.The highest average age(75.08±13.74)occurred in patients with respiratory diseases,while the lowest average age(37.49±11.40)occurred in acute poisoning patients,the differences were statistically significant(P<0.05).Patients with neurological diseases(34.96%)accounted for the most in the disease spectrum composition.In terms of gender distribution,a higher incidence of neurological and circulatory diseases was found in male,while the female patients were prone to acute poisoning,endocrine disease,and other unclear diseases,the differences were statistically significant(P<0.05).Conclusion Targeted preparation based on the disease analysis of patients admitted to the Emergency Department for observation helps to arrange work of the emergency observation room scientifically and rationally,and improves the clinical effect of treatment afterwards.