Abstract：Objective To analyze the epidemiological characteristics and disease spectrum of adult emergency patients in a prefecture-level tertiary hospital in Shandong Province, find out the regularity and clinical characteristics of medical treatment, and provide data support for clarifying the priorities of emergency treatment and optimizing emergency procedures.Methods Clinical data of pre-triage patients in the emergency department from January to December 2019 including gender, age, pre-triage grade, diagnosis, visit time and other information were collected from the triage information system of a tertiary hospital in Shandong Province for retrospective analysis.Results Totally 28 428 adult internal medicine patients were admitted to the emergency department throughout the year, with a male to female ratio of 0.937∶1; the 30 year-old group accounted for the most (25.38%), the 45 year-old group accounted for 23.36%, and the 60-74 year-old group accounted for 23.77%. The peak of all-day visits was from 19：00 to 19：59 (accounting for 36.67% of the total number of visits), with a clear circadian rhythm. The pre-examination and triage levels of the patients were mainly grade 4 sub-acute or non-acute. In adult patients, the proportion of patients with grade 1 acute and grade 2 acute increased with age. Nervous system, digestive system, circulatory system, and respiratory system diseases were the main disease spectrum of adult medical emergency.Conclusion The emergency treatment has obvious circadian rhythm and disease spectrum characteristics. It is necessary to strengthen the arrangement of emergency personnel at night, strengthen the training and learning of the diagnosis and treatment of major diseases, improve the efficiency of treatment, and ensure the safety of patients in seeking medical treatment.
栾春业，郭立莎，张冰，苏朋涛，李伟华，张金英. 山东省某地市级三甲医院成人内科急诊流行病学分析[J]. 中国医院统计, 2022, 29(4): 266-269.
Luan Chunye, Guo Lisha, Zhang Bing, Su Pengtao, Li Weihua, Zhang Jinying. Epidemiological analysis of the emergency department of adult internal medicine in a prefecture-level tertiary hospital in Shandong. journal1, 2022, 29(4): 266-269.
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