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目的通过对出院患者的疾病构成及死因构成分析,为某院提高医疗工作质量及降低该院住院患者死亡率提供科学依据。方法通过某院病案管理系统平台,以第一诊断为依据,按照ICD-10的各个章节进行分类,对2011年-2015年住院患者进行数据分析。结果 2011年-2015年五年期间某院出院患者共131 967例,前十位疾病出院患者共108 011例,占总出院人数的81.85%,前十位疾病妊娠、分娩和产褥期疾病占首位,占全院出院总人数的12.54%,其次为眼和副器疾病、泌尿生殖系统疾病、内分泌、营养代谢系统疾病、肿瘤、神经系统疾病、循环系统疾病、呼吸系统疾病、消化系统疾病。五年间死亡病例共414例,占总出院人数的0.33%,前十位死因占总死亡病例的23.43%,死亡患者前十位死因分别是肺恶性肿瘤、脑挫伤、冠状动脉粥样硬化性心脏病、贲门恶性肿瘤、肺部感染、食管恶性肿瘤、脑出血、吸入性肺炎、肝恶性肿瘤。结论根据每年出院患者疾病构成调整医院编制床位、人员配置及设备投入,做好常见病、慢性病的诊治工作,特别是对于科学制定管理决策,降低住院患者的死亡率,提高患者的生命质量尤为重要。
Objective To analyze the composition and cause of death of discharged patients and provide a scientific basis for improving the quality of medical work and reducing the mortality of inpatients in a hospital. Methods Based on the first diagnosis and based on the ICD-10, the method was used to analyze the data of inpatients from 2011 to 2015 through a hospital medical record management system platform. Results A total of 131 967 patients were discharged from a hospital during the five-year period from 2011 to 2015. A total of 108 011 patients were discharged from the hospital, accounting for 81.85% of the total number of discharged patients. Pregnancy, childbirth and puerperium accounted for the top 10 diseases, Accounting for 12.54% of the total hospital discharges, followed by eye and accessory diseases, urogenital diseases, endocrine diseases, nutrition and metabolic diseases, tumors, nervous system diseases, circulatory system diseases, respiratory diseases and digestive diseases. 414 cases of deaths in five years, accounting for 0.33% of the total number of discharged, the top ten cause of death accounted for 23.43% of the total deaths, the top ten death causes were malignant lung cancer, cerebral contusion, coronary atherosclerotic heart Cardiac cancer, lung infection, esophageal cancer, cerebral hemorrhage, aspiration pneumonia, hepatic malignancies. Conclusion According to the constitution of discharged patients each year, the hospital is required to adjust the beds, staffing and equipment inputs, so as to diagnose common diseases and chronic diseases, especially for making scientific management decisions, reducing the mortality of inpatients and improving the quality of life of patients .