摘要
目的:对我院急诊科Ⅰ~Ⅲ级患者的流行病学特点进行分析,为明确学科发展问题和学科发展规划提供数据支持。方法:通过医院急诊预检分诊管理系统收集2017-01—2018-12期间急诊科Ⅰ~Ⅲ级患者的基本信息和就诊资料,分析流行病学特点。结果:2017—2018年我院急诊科共收治患者352670人次,其中Ⅰ~Ⅲ级患者271428人次,占77.0%。本研究纳入资料完整者270003人次,资料有效率为99.5%。Ⅰ、Ⅱ、Ⅲ级的就诊患者分别为764、7225、262014人次,占0.3%、2.7%、97.0%。男女比例为0.81∶1,平均年龄(52.74±19.81)岁。2017年全年高峰期为9、10、12月,2018年全年高峰期为4-6月和12月;全天就诊高峰集中在9:00-10:00和19:00-20:00。56.2%的急症患者来自外区,医保持卡者占65.7%。来院方式以家属陪同、步行入院为主。急诊内科、神经内科和外科收治患者最多,分别占44.4%、22.9%和7.9%。疾病谱排名前3位的为脑血管疾病、呼吸系统疾病和心血管疾病。结论:要合理分流患者,缓解急诊拥挤现象。根据急诊患者的就诊密度,科学配置人员,合理安排工作。应加大急救技术的教育力度,关注急诊慢性病患者健康教育。
Objective:To analyze the characteristics of epidemiology among the gradeⅠ-Ⅲemergency patients in Xuanwu Hospital Capital Medical University,and to provide data support for clarifying discipline development issues and plans.Method:The basic information and medical records of patients in the emergency department were collected from the hospital emergency pre-examination and triage management system during the period from January 2017 to December 2018,and the epidemiological characteristics were analyzed.Result:GradeⅠ-Ⅲpatients of 271428 have visited the emergency department of Xuanwu Hospital Capital Medical University from 2017 to 2018,accounting for 77.0%of the total emergency patients in that two years.270003 valid cases with complete data were included in this study,with a effective returning rate of 99.5%.T The number of patients belonging to Grade I,II,and III was 764,7225,and 262014,respectively,accounting for 0.3%,2.7%,and 97.0%.The ratio of male to female was 0.81∶1,and the average age was(52.74±19.81)years old.September、October and December were the peak months during 2017,while that were April to June and December during 2018.The peak hours were 9:00-10:00 and 19:00-20:00 in a whole day.56.2%of patients came from outer districts,while 65.7%were patients carring medicare cards.Walking and being accompanied by families were the major way for patients to enter emergency department.The top three medical departments were emergency medicine、emergency neurology and emergency surgery,which accounting for 44.4%、22.9%and 7.9%respectively.The leading three diseases were cerebrovascular disease、respiratory system disease and cardiovascular disease.Conclusion:It is necessary to divert patients rationally to alleviate congestion in the emergency department.The administrators should dispose hygienic human resources scientifically and arrange work reasonably according to the emergency visit density.We should reinforce the education of first-aid skills,and pay more attention to the health education of the patients with chronic diseases.
作者
梁潇
高文慧
李思颉
LIANG Xiao;GAO Wenhui;LI Sijie(Emergency Department,Xuanwu Hospital,Capital Medical University,Beijing,100040,China)
出处
《临床急诊杂志》
CAS
2019年第10期779-783,共5页
Journal of Clinical Emergency
基金
北京市医院管理局青苗计划(No:QML20180801)
关键词
急诊
患者
流行病学
emergency
patients
epidemiology
