某医院2014—2020年住院儿童死因分析及干预措施探讨

Analysis of the causes and intervention measures of hospitalized children mortality in a hospital from 2014 to 2020

目的分析住院患儿死亡率变化及主要死因,并探讨干预措施。方法选取住院患儿为研究对象,进行回顾性分析,比较不同年代病死率变化情况及不同年龄主要死亡病因、居住地、入院后死亡时间及小儿危重病例评分。结果总病死率为2.3‰,近7年病死率与随年龄增长不同居住地及危重病例评分无明显变化,呼吸系统疾病、心血管系统疾病及脓毒症的死亡率呈下降趋势,神经系统疾病及意外伤害呈上升趋势,入院后死亡时间呈上升趋势(P<0.05)。结论应针对不同年龄段儿童主要死亡病因采取相应的医疗保健措施,以进一步降低儿童病死率。

Objective To analyzed the changes of mortality and the main cause of death of hospitalized children and explore the intervention measures.Methods The hospitalized children were selected as the research objects and analyzed retrospectively.The change of mortality in different years and the main causes of death,residence,time of death after admission and the Pediatric Clinical Illness Score were compared.Results The total mortality of all hospitalized children was 2.3‰,the mortality in recent 7 years was no significant change,there were no significant changes in nationality,place of residence and the Pediatric Clinical Illness Score among different ages.The mortality of respiratory diseases,cardiovascular diseases and sepsis showed a downward trend,while the mortality of nervous system diseases.The accidental injuries and death showed an upward trend(P<0.05).Conclusion Medical and health care measures should be taken according to the main causes of death in children of different age groups in order to further reduce the mortality of children.