西南医科大学附属医院8670例住院死亡患者特征分析

目的 通过分析西南医科大学附属医院2000年1月1日至2014年12月31日8 670例死亡病案,了解疾病分布及死因变化规律.方法 疾病分类2000年及2001年以ICD-9为标准,其他年份以ICD-10为标准,应用Excel2007、SPSS17.0软件系统对该院2000年1月1日至2014年12月31日间住院死亡患者病案进行回顾性分析.结果 15年来男女死亡性别比例约为1.92∶1,心脏病死亡男女性别比例为1.3∶1.15年来住院患者人数在迅速增加,而病死率逐年下降.死亡高发年龄段为60岁及以上(4 281例,占49.38％),尤其是60岁以上的心脏病患者死亡人数占心脏病总死亡人数的61.9％.其次是45～59岁年龄段(占20.30％),前三位死因依次为循环系统疾病、呼吸系统疾病和恶性肿瘤.循环系统疾病前三位死因依次为冠心病、脑出血、脑梗死;心血管系统前三位死因依次为冠心痛、高血压和先天性心脏病;呼吸系统疾病前三位死因依次为肺炎、慢性阻塞性肺疾病和呼吸衰竭;恶性肿瘤死因的前三位依次为肺癌、白血病及肝癌.按季节分布来看,冬季死亡人数最多(2 362例,占27.24％).从住院天数来看,以住院时间小于或等于1d的住院患者死亡人数最多,为2 625例,占30.28％.结论 分析住院患者死因、疾病分布情况及变化趋势有利于医疗资源的合理配置,促进医院管理方案改革,提高该地区临床流行病学研究水平.

Analysis on characteristics of 8 670 dead inpatients in Affiliated Hospital of Southwest Medical University

Objective To understand the disease distribution and change rule of death causes by analyzing 8 670 dead cases in the First Affiliated Hospital of Southwest Medical University during Juhuary 1,2000 to December 31,2014.Methods The disease classification in 2000 and 2001 adopted the ICD-9 as the standard,which in other years adopted the ICD-10 as the standard.The medical records of dead hospitalized cases in our hospital during Juhuary 1,2000 to December 31,2014 were retrospectively analyzed by using the Excel 2007,SPSS17.0 software system.Results The sex ratio of male and female mortality was about 1.92 ∶ 1 in these 15 years,the sex ratio of heart disease death was 1.3 ∶ 1.In these 15 years,the number of hospitalized patients was increased rapidly,while the mortality rate was declined year by year.The age group of high mortality rate was 60 years old and over(4 281 cases),accounting for 49.38％.Especially heart disease patients over 60 years old accounted for 61.9％of total heart disease deaths.Followed by the age group of 45-59 years old,accounting for 20.30％.The top three causes of death were circulatory system diseases,respiratory diseases and malignant tumors.The top three causes of death in circulatory system diseases were coronary heart disease,cerebral hemorrhage and cerebral infarction.The top three causes of cardiovascular system were coronary heart disease,high blood pressure and congenital heart disease.The top three causes of respiratory disease were pneumonia,chronic obstructive pulmonary disease and respiratory failure.The top three death causes of malignant tumor were lung cancer,leukemia and liver cancer.According to the seasonal distribution,the number of deaths in winter was up to 2 362 cases,the constituent ratio was 27.24 ％.Hospitalization days,the number of hospitalization death≤1 d was up to 2 625 cases,the constituent ratio was 30.28％.Conclusion Analyzing the death causes,disease distribution and change trend of inpatients is conducive to the rational allocationof medical resources,promote the reform of hospital management programs and improve the level of clinical epidemiological research in this area.