论文部分内容阅读
目的分析住院死亡病例构成特点,为有关部门制定卫生保健措施和合理配置医疗资源提供科学依据。方法采用SAS9.2软件对2006年-2015年住院死亡病例数据信息进行回顾性统计分析。结果总住院死亡率为0.65%,10年间无随年度增加而降低的趋势(r=-0.19,P=0.59)。男性死亡率(0.85%)高于女性(0.45%),差异有统计学意义(χ2=470.75,P<0.05)。死亡年龄主要集中在60~岁组(58.47%)。前5位死因为肿瘤(46.08%)、循环系统疾病(23.46%)、呼吸系统疾病(7.92%)、消化系统疾病(5.21%)、损伤中毒和外因的某些后果(4.66%)。肿瘤死因构成中,前2位为消化器官肿瘤(34.96%)、呼吸和胸腔内器官肿瘤(34.62%)。结论医院应密切关注患者性别、年龄以及死亡高发疾病,有针对性地采取相应措施,提高医疗质量,降低死亡率。
Objective To analyze the characteristics of hospitalized death cases and provide scientific basis for the relevant departments to formulate health care measures and rational allocation of medical resources. Methods SAS9.2 software was used to retrospectively analyze the data of inpatient deaths from 2006 to 2015. Results The overall in-hospital mortality rate was 0.65%. There was no trend of decreasing with annual increase in 10 years (r = -0.19, P = 0.59). Male mortality was higher (0.85%) than female (0.45%), the difference was statistically significant (χ2 = 470.75, P <0.05). The age of death mainly concentrated in 60 ~ group (58.47%). The top 5 causes of death were cancer (46.08%), circulatory system disease (23.46%), respiratory system disease (7.92%), digestive system disease (5.21%), damage poisoning and some extrinsic consequences (4.66%). Among the cancer death causes, the top two were gastrointestinal cancer (34.96%), respiratory and intrathoracic organ tumors (34.62%). Conclusion The hospital should pay close attention to the patients’ gender, age and the disease with high death rate, and take relevant measures pertinently to improve the medical quality and reduce the mortality rate.