摘要
目的了解北京市西部地区某三级综合医院住院病人死因情况,为疾病预防和医院管理提供参考依据。方法通过医院电子病案信息系统查找2010—2019年住院期间死亡患者,根据ICD-10国际疾病分类原则对主要死因进行分类,采用SPSS 26.0软件进行数据统计分析。结果 2010—2019年住院患者269 727人次,其中7 202人死亡,死亡患者平均年龄(75.02±12.92)岁,男女比1.5∶1。各季节死亡人数不同,冬季最多,占比26.7%。死亡患者前3位死因依次为恶性肿瘤、呼吸系统疾病、循环系统疾病,3类疾病占到全部死因的89.4%。死因顺位中居于首位的是恶性肿瘤,前3位病种依次为支气管和肺恶性肿瘤、结直肠恶性肿瘤、胃恶性肿瘤。结论重视老年人慢性病预防和治疗,尤其应提高对男性身心健康的关注。在季节交替时加强健康宣传,预防疾病发生。恶性肿瘤,呼吸和循环系统疾病仍是造成死亡的主要原因,医院应加强心脑血管和肿瘤等疾病的学科建设。
Objective To investigate the cause of death of inpatients in a tertiary comprehensive hospital in western Beijing and to provide reference for disease prevention and hospital management.Methods Patients who died in hospital from 2010 to 2019 were searched through the hospital electronic medical record information system, and the main causes of death were classified according to ICD-10 principles of international classification of Diseases. SPSS 26.0 software was used for statistical analysis.Results From 2010 to 2019, 269 727 inpatients were hospitalized, among which 7 202 died. The average age of death was(75.02±12.92) years old, and the ratio of men to women was 1.5∶1. The number of deaths varied in different seasons, with winter the most, accounting for 26.7%. The top three causes of death were malignant tumor, respiratory disease and circulatory system disease, accounting for 89.4% of all deaths. Malignant tumors ranked first among the causes of death, and the top 3 diseases were bronchial and lung malignant tumors, colorectal malignant tumors, and gastric malignant tumors.Conclusion More attention should be paid to the prevention and treatment of chronic diseases among the elderly, especially to the physical and mental health of men. Strengthening health promotion at the turn of the season could prevent disease. Malignant tumors and diseases of the respiratory and circulatory systems are still the main causes of death. Hospital administrators should strengthen the discipline construction of cardiovascular and cerebrovascular diseases and tumors.
作者
刘冰
孙建华
Liu Bing;Sun Jianhua(Department of Medical Records,Peking University Shougang Hospital,Beijing 100144,China)
出处
《中国医院统计》
2021年第5期433-437,共5页
Chinese Journal of Hospital Statistics
关键词
综合医院
住院患者
疾病分类
死亡统计
comprehensive hospital
inpatient
classification of disease
death statistics
