摘要
目的分析苏北某三甲医院急诊抢救患者疾病谱特点与流行病学特征。方法回顾性收集2020年1月1日—12月31日该院急诊抢救室收治患者的基本信息及就诊资料,统计分析其疾病谱及流行病学特征。结果急诊抢救室共收治10931例患者,男女比为1.47∶1,年龄以45~74岁为主,占比78.03%。随着年龄增加,患者抢救室滞留时间中位数也随之延长,差异有统计学意义(H=110.451,P<0.001)。抢救室收治患者月高峰为1月、10-12月,日高峰出现在9:00-12:00、16:00和19:00。排名前5位的病种为循环系统疾病3457例(31.6%),症状、体征、临床与实验室异常所见不可归类在他处者3118例(28.5%),损伤、中毒和外因的某些其他后果1932例(17.7%),消化系统疾病752例(6.9%),呼吸系统疾病561例(5.1%)。抢救室滞留时间中位数为145 min,最长2.47 d,最短2 min。结论医院应根据急危重症流行病学与疾病谱特点,以及滞留时间,合理配置卫生资源,加强多部门协调,提高对急危重症患者的救治能力。
Objective To analyze the characteristics of disease spectrum and epidemiological characteristics of emergency rescue patients in a third-class hospital in northern Jiangsu.Methods The basic information and medical information of the patients admitted to the emergency room of our hospital from January 1,2020 to December 31,2020were retrospectively collected,and the disease spectrum and epidemiological characteristics were statistically analyzed.Results A total of 10931 patients were admitted to the emergency room,the male to female ratio was 1.47:1,and the majority were 45~74 years old,accounting for 78.03%.The median stay time in the emergency room increased with age,and the difference was statistically significant(H=110.451,P<0.001).The monthly peak of patients admitted to the emergency room was January and from October to December,and the daily peak appeared at 9:00-12:00,16:00 and19:00.The top five diseases were circulatory system diseases(3457 cases)(31.6%),symptoms,signs,and clinical and laboratory abnormalities that could not be classified elsewhere(28.5%)(3118 cases),injuries,poisonings and certain other consequences of external causes(1932 cases)(17.7%),752 cases(6.9%)of digestive system diseases and 561cases(5.1%)of respiratory system diseases.The median residence time in the emergency room was 145 min,of which the longest was 2.47 d and the shortest was 2 min.Conclusion The hospital should rationally allocate health resources according to the epidemiology and disease spectrum characteristics of acute and critical patients in the region,as well as the retention time,strengthen the coordination of multiple departments,and improve the treatment ability of patients with acute and critical diseases.
作者
吴梦平
刘萍
徐渭
张骞峰
WU Mengping;LIU Ping;XU Wei;ZHANG Qianfeng(Department of Hospital Quality and Safety Management,the First People's Hospital of Lianyungang,Lianyungang Jiangsu 222061,China)
出处
《中国急救复苏与灾害医学杂志》
2023年第2期162-165,共4页
China Journal of Emergency Resuscitation and Disaster Medicine
基金
连云港市第一人民医院青年英才基金项目(编号:QN1916)
南京医科大学康达学院2020年度科研发展基金课题(编号:KD2020KYJJYB083)。
关键词
急诊抢救室
流行病学
疾病谱
Emergency rescue room
Epidemiology
Disease spectrum
