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2010~2019年某综合型医院住院患者呼吸系统死亡疾病分布统计分析

Statistical analysis of the distribution of death cases due to respiratory system diseases among inpatients in a general hospital during 2010-2019

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【作者】 代伟王玮朱敏崔丽萍曹秀堂

【Author】 Dai Wei;Wang Wei;Zhu Min;Information Management Office of the Second Medical Center ,Chinese PLA General Hospital;

【通讯作者】 代伟;

【机构】 解放军总医院第二医学中心质量管理科解放军总医院第五医学中心质量管理科解放军总医院第二医学中心军队伤病员管理科解放军总医院第二医学中心心电图室解放军总医院医疗统计科

【摘要】 目的探讨某综合型医院住院患者呼吸系统死亡疾病的分布特点,为医院合理安排救治与预防保健工作提供科学依据。方法利用统计工具从医院信息管理系统(HIS)中提取2010~2019年10年间北京市海淀区某医院呼吸系统死亡病例,回顾性分析死亡病例的性别、年龄、疾病病种等。结果 10年间呼吸系统死亡993例,病死率2.84%,其中男性2.97%,女性2.58%,男性病死率明显高于女性,差异有统计学意义(P <0.05);各年龄段病死率随着年龄的增加而增加,病死率从0.09%上升到30.77%;呼吸系统疾病死亡有明显季节性,一季度死亡人数最多,占30.01%;死亡前3位疾病依次肺炎(病原体未特指),占37.97%,细菌性肺炎占27.59%,慢性阻塞性肺疾病占14.80%。结论死亡患者中99.90%为下呼吸道感染患者,60岁以上的老年人是呼吸系统死亡的高危人群,应加强对呼吸系统死亡疾病及其相关危险因素的监测。

【Abstract】 Objective To discuss the distributional characteristics of death from respiratory disease of inpatient in a general hospital,in order to provide evidence for reasonable planning of medical treatment and care in hospitals. Methods Used statistical tools to extract death cases due to respiratory diseases in 2010-2019 from HIS system,and conducted retrospective statistical analysis with Excel and SPSS18.0.Results There are 993 deaths from respiratory disease during the ten years with a mortality rate of 2.84%.death rate was 2.97% in males and 2.58% in females,and death rate was higher than of females.The death rate increases as the age of the patient grows,from 0.09% up to 30.77%.There is a significant seasonality with most of the deaths in Q1.The top three respiratory diseases causing death are pneumonia with unspecified pathogen,37.97%,bacterial pneumonia,27.59%,and COPD,14.80%.Conclusion 99.90% of the deaths have lower respiratory infection.Elderly people aged over 60 are high-risk group for respiratory death,whose respiratory disease and related risk factors should be monitored closely.

【关键词】 呼吸系统病死率老年
【Key words】 Respiratory systemDeath rateElderly
【基金】 中央保健委员会专项课题(11BJZ08)
  • 【文献出处】 中华保健医学杂志 ,Chinese Journal of Health Care and Medicine , 编辑部邮箱 ,2020年05期
  • 【分类号】R195.4
  • 【被引频次】6
  • 【下载频次】171
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