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6601例住院患者死因调查

Survey on the Death Causes of 6601 Hospitalized Inpatients

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【作者】 杨美多; 许长禄;

【Author】 Yang Meiduo;Xu Changlu;The First Affiliated Hospital of China Medical University;

【机构】 中国医科大学附属第一医院; 中国医科大学附属盛京医院;

【摘要】 目的了解住院患者死因构成特点,提高医疗质量及医院管理水平。方法对某院2012年-2016年6601例住院死亡患者病案首页进行统计分析。结果出院死亡患者6601例,男女之比为1.36:1,男性病死率0.97%,女性病死率0.49%,,男性病死率高于女性(χ~2=762.117,P<0.001);5年的整体病死率为0.69%,年度病死率呈下降趋势;死亡主要以65岁及以上年龄段为主(56.31%);肿瘤、循环系统疾病和呼吸系统疾病是主要死亡原因,占死亡总数的74.35%。结论针对主要死亡原因如肿瘤、循环系统疾病和呼吸系统疾病的患病特点,加强对65岁及以上老年慢性患者群的诊疗服务能力,相对重视男性疾病的预防,进一步降低病死率。

【Abstract】 Objective To understand the constitute and characteristics of death patients, and improve the medical quality and hospital management. Method To conduct a statistical analysis on the diseases of 6601 death patients of a hospital from 2012 to 2016. Results the number of hospital discharge was 96173, and the death was 6601.The death rate between male and female was 1.36:1, the male mortality rate(0.97%) was significantly higher than that in female(0.49%)(χ~2= 762.117,P<0.001);The overall mortality rate was 0.69% in 5 years, the annual mortality rate was basically decreased, the age of death was mainly concentrated in over 65 years old(56.31%), the top three causes of death are cancer, circulatory system, respiratory system diseases 74.35%, accounting for deaths. Conclusions We should strengthen the diagnosis and treatment service ability of the elderly patients over 65 years old, and relative importance should be given to the prevention of male diseases, and further reduce the mortality in view of the main causes of death, such as cancer, circulatory system diseases and respiratory diseases,

  • 【文献出处】 中国病案 ,Chinese Medical Record , 编辑部邮箱 ,2018年03期
  • 【分类号】R197.323
  • 【被引频次】12
  • 【下载频次】102
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