1376例恶性肿瘤死亡病例统计分析

Statistical Analysis of 1376 Malignant Tumor Deaths

目的分析某院恶性肿瘤死亡患者的构成和分布情况,为恶性肿瘤防治提供参考依据。方法回顾性分析2013年1月1日-2019年12月31日某院1376例恶性肿瘤住院死亡病例病案首页信息,描述其疾病构成,并对恶性肿瘤患者住院死亡率在不同性别、年龄、职业、付款方式和来源地方面的统计分析,结果1376例恶性肿瘤患者的住院死亡率为6.55%,其中男性912例,住院死亡率为7.65%,女性464例,住院死亡率为5.11%;恶性肿瘤随年龄增长死亡呈上升趋势,60岁以上年龄组死亡人数最多,969例,占70.42%;职业以离退休人员最多,950例,占69.04%;付款方式以城镇职工基本医疗保险最多,1072例,占77.91%;来源地以本市最多,1358例,占98.69%。恶性肿瘤患者住院死亡率在不同性别、年龄、职业、付款方式、来源地之间的差异具有统计学意义(P<0.01)。结论消化器官及呼吸和胸腔内器官恶性肿瘤排在恶性肿瘤患者住院死亡顺位的前2位,2013年-2019年某院恶性肿瘤患者住院死亡以男性、中老年、离退休人员居多,应加强此类人群的防治工作。

Objectives To analyze the composition and distribution of cancer deaths in a hospital from 2013 to 2019, in order to provide basis for its prevention and treatment. Methods The front page information of 1376 cases of malignant tumor death cases hospitalized in a hospital from January 1 st, 2013 to December 31 st, 2019 was retrospectively analyzed, the disease composition was described, and whether there were statistical differences in the mortality of malignant tumor patients in different gender, age, occupation, payment method and origin was analyzed. Results Both male and female were digestive, respiratory and thoracic organs malignant tumors ranked the top two, and the follow-up order was different between male and female. The in-hospital mortality of 1376 malignant tumor patients was 6.55%, including 912 males(7.65%) and 464 females(5.11%). The death rate of malignant tumor increased with age. The death rate of the group over 60 years old was the highest, with 969 cases,accounting for 70.42%;the number of retirees was the most, with 950 cases, accounting for 69.04%;the most payment method was the urban workers’ basic medical insurance, with 1072 cases, accounting for 77.91%, and this city was the most source, with 1358 cases, accounting for 98.69%. The difference of in-hospital mortality of cancer patients was statistically significant(P<0.01). Conclusions Malignant tumors of digestive organs,respiratory organs and thoracic organs ranked in the top two of the in-hospital deaths of patients with malignant tumors. Most of the in-hospital deaths of patients with malignant tumors in a hospital from 2013 to 2019 were male,middle-aged, elderly and retired.