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目的分析某院普内科患者转科与否对病死率的影响,为规范临床诊疗和改进医院转科制度提供依据。方法检索2006-2012年医院电子病案系统中死亡患者资料,采用描述性分析和卡方检验等方法分析病死率情况。结果七年间,全院病死率呈下降趋势;普内科患者病死率在2006-2010年间呈下降趋势,2011年后有所升高;普内科患者病死率高于全院病死率。普内科转科与未转科患者在2008、2009、2010、2012年以及七年总和的病死率差异上有统计学意义。结论进一步加强普内科学科建设,建立规范的普内科诊疗常规,明确普内科转科治疗标准,建立普内科转科救治通道,从而降低普内科病死率,提高诊疗效果。
Objective To analyze the impact of transplanting or not on the case fatality rate in a department of general medical patients in a hospital and provide the basis for standardizing clinical diagnosis and treatment and improving hospital transfer system. Methods The data of death patients in the hospital electronic medical record system from 2006 to 2012 were retrieved. The case fatality rate was analyzed by descriptive analysis and chi-square test. Results The case fatality rate of the hospital decreased gradually in the seven years. The mortality of general medical patients decreased from 2006 to 2010 and increased after 2011. The mortality of general medical patients was higher than that of the whole hospital. There was a statistically significant difference between the two groups in terms of overall mortality in 2008, 2009, 2010, 2012, and the seven-year combined population of patients with and without PTS. CONCLUSIONS: To further strengthen the construction of general science subjects, to establish a standardized general practice of general medical services, to clarify the standard of generalized department of internal medicine and to set up a common department of internal medicine to reduce the incidence of general medical treatment and improve the diagnosis and treatment effect.