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目的分析某医院2003年-2013年住院死亡病例病死情况、死因构成、年龄及性别分布,为降低该院住院病人死亡率和科学制定相关管理决策及提高医疗工作质量提供科学依据。方法通过该院病案信息系统平台,采集2003年-2013年住院死亡病例信息数据进行统计分析。结果该院2003年-2013年总的死亡率为0.01%,经Cox-Stuart检验,死亡率呈下降趋势(P<0.05)。男性病例死亡率(0.96%)高于女性(0.52%)(x2=307.86.,P<0.05)。经Cox-Stuart检验,随着年龄的增加,患者的死亡率呈上升趋势(P<0.05)。按国际疾病分类(ICD-10)的类目归类,前五位死因为头部损伤(8.95%)、脑血管病(8.50%)、消化器官恶性肿瘤(6.34%)、呼吸及胸腔内器官恶性肿瘤(6.02%)及慢性下呼吸道疾病(4.61%)。结论重点加强对患有前30位死因患者类似疾病患者的防治工作,积极提高本院医疗诊治技术,科学制定管理决策,以便进一步降低住院病人的死亡率,提高病人的生命质量。
Objective To analyze the deaths, the cause of death, the age and sex distribution of inpatient deaths in a hospital from 2003 to 2013, and provide a scientific basis for reducing inpatient mortality and making scientific management decisions scientifically and improving the quality of medical work. Methods The data of hospitalized deaths from 2003 to 2013 were collected and analyzed through the hospital’s medical record information system platform. Results The overall mortality rate in this hospital from 2003 to 2013 was 0.01%. The mortality rate showed a decreasing trend by Cox-Stuart test (P <0.05). Male case fatality rate (0.96%) was higher than female (0.52%) (x2 = 307.86, P <0.05). The Cox-Stuart test showed that as the age increased, the mortality rate of patients showed an upward trend (P <0.05). According to the classification of the International Classification of Diseases (ICD-10), the top five deaths were head injury (8.95%), cerebrovascular disease (8.50%), digestive organ malignancy (6.34%), respiratory and intrathoracic organs Malignant tumor (6.02%) and chronic lower respiratory tract disease (4.61%). Conclusion The focus is to strengthen the prevention and treatment of patients with similar diseases in the top 30 causes of death, actively improve the medical diagnosis and treatment techniques and make scientific management decisions scientifically in order to further reduce the inpatient mortality rate and improve the quality of life of the patients.