2014—2019年某三甲医院3598例住院死亡病例统计分析

目的 分析上海市某三甲医院6年间住院死亡死因构成特点,为医疗资源合理配置提供参考.方法 收集上海市某三甲医院2014年1月1日至2019年12月31日3598例住院死亡病例基本信息,根据ICD-10分类标准,采用SAS 9.2软件进行整理和分析.结果 2014—2019年某医院住院病死率为0.67％,男性患者病死率高于...

Analysis of the death situation among inpatients in a tertiary hospital in Shanghai from 2014 to 2019

Objective To analyze the characteristics of the causes of death in a tertiary hospital in Shanghai during six years,and to provide reference for the rational allocation of medical resources.Methods The basic information of 3598 inpatient deaths from January 1,2014 to December 31,2019 was collected and analyzed with SAS 9.2 software according to ICD-10 classification standard.Results The case fatality rate of hospitalized patients was 0.67%from 2014 to 2019,and the fatality rate of male patients was higher than that of female patients(χ2=143,P<0.001).The mortality age of female[M(IQR)]82(14)years old was higher than that of male[M(IQR)]77(20)years old,and the difference was statistically significant(Z=10.08,P<0.001).The mortality increased with age,and there was significant difference in Cochran Armitage trend test(Z=2.95,P=0.003).The causes of death were different between age groups,there were 5 deaths under 20 years old,including 2 cases of respiratory system disease,1 case of circulatory system disease,1 case of perinatal conditions disease,and 1 case of symptoms/signs/clinical abnormalities.Malignant tumor and circulatory system disease were the main causes of death from 20 to 69 years old.Circulatory system disease,malignant tumor and respiratory diseases were the main causes of death over 70 years old.The three leading causes of death were circulatory diseases(40.05%),malignant tumors(31.88%)and respiratory diseases(11.92%).Conclusion Circulatory system disease,malignant tumor and respiratory system disease were the main causes of death.We should pay attention to improving the level of medical technology and multidisciplinary comprehensive treatment ability,and pay attention to the early screening and intervention of diseases,so as to reduce the mortality.