2016—2020年广西某三甲综合医院死亡病人分析

Analysis of dead patients in a tertiary A-class comprehensive hospital in Guangxi from 2016 to 2020

目的分析广西某三甲医院2016—2020年住院死亡患者性别、年龄及死因变化趋势等特征,为提高医院的医疗质量安全,合理分配医院资源提供参考。方法选取2016—2020年广西某三甲医院病案首页,采用ICD-10对住院患者主要诊断进行分类,使用SPSS 27.0对住院患者的死因进行回顾性分析。结果2016—2020年死亡住院患者共2439例,整体病死率除2020年外呈下降趋势;低风险病死率无显著性改善;死亡住院患者中男性1566例,女性873例,男性病死率高于女性病死率(χ^(2)=281.079,P<0.001);各类死因中构成比前三位依次为循环系统疾病(29.77%)、肿瘤(24.68%)、呼吸系统疾病(21.77%);55岁以下患者病死率最高的疾病为循环系统疾病,55岁以上患者呼吸系统病死率最高。结论医院需完善院科两级低风险死亡患者管理制度,强化老年医学及康复医学专业建设,优化危重患者入院流程,加强多学科联合诊疗。

Objective To analyze the characteristics of gender,age,and trend of death causes of hospitalized dead patients in a tertiary A-class hospital in Guangxi from 2016 to 2020,and to provide reference for improving medical service quality and safety and rationally allocating hospital resources.Methods The first pages of medical records of a tertiary hospital in Guangxi from 2016 to 2020 were sorted out,and the main diagnoses of inpatients were classified by the use of ICD-10.SPSS 27.0 was employed to analyze the death causes of inpatients retrospectively.Results There were totally 2439 dead inpatients from 2016 to 2020,and the overall mortality was declining except for the year of 2020.There was no significant improvement in the low-risk mortality.The dead inpatients consist of 1566 males and 873 females,and the male mortality was higher than that of females(χ^(2)=281.079,P<0.001).The top three causes of death were circulatory system diseases(29.77%),tumor(24.68%),and respiratory system diseases(21.77%).The circulatory diseases were the one with the highest mortality in patients under 55 years old,and the respiratory diseases had the highest mortality among patients over 55 years old.Conclusion The hospital needs to improve the management system of patients with low-risk death at the hospital and department levels,strengthen the construction of geriatrics and rehabilitation medicine,optimize the admission process of critically ill patients,and enhance multidisciplinary joint diagnosis and treatment.