Abstract：Objective To analyze the changes of hospitalization and mortality of key monitoring diseases in a hospital, and the influencing factors of death of inpatients with acute myocardial infarction (AMI). Methods Data of discharge summary records were collected of patients with 18 key monitoring diseases admitted to a hospital between 2015 and 2019. Trend analysis was used to explore the changes of hospitalization and mortality of diseases, and mixed effect logistic models were used to assess the risk factors of death of AMI inpatients. Results From 2015 to 2019, the number of inpatients with key diseases increased yearly, with an estimated annual percentage change of 9.72%, while the inpatient mortality showed a decreasing trend (χ2=13.97，P<0.001). The main influencing factors of inpatient death of AMI were clinical pathway, older age and critical illness. Conclusion The capacity and quality of medical service for key diseases in this hospital has gradually improved since 2015. The implementation of clinical pathway and intensive care for highrisk patients can be beneficial to reduce the nosocomial mortality, and improve the medical quality.
张冠荣. 某三级医院2015—2019年重点疾病住院及死亡情况的变化趋势分析[J]. 中国医院统计, 2020, 27(6): 549-553.
Zhang Guanrong. . Analysis on the trend of hospitalization and death of key monitoring diseases in a tertiary hospital from 2015 to 2019. journal1, 2020, 27(6): 549-553.
［1］宋景晨，马谢民，赵乐平，等．基于住院病案首页数据的心血管临床专科评估框架构建［J］．中国医院管理，2018，38(5)：31-33．
［2］王静，马谢民，俞国培，等．基于住院病案首页数据的医院综合评估框架构建［J］．中国医院管理，2013，33(12)：18-20．
［3］KRISTOFFERSEN D T, HELGELAND J, CLENCHAAS J, et al. Comparing hospital mortality: How to count does matter for patients hospitalized for acute myocardial infarction (AMI), stroke and hip fracture［J］. BMC Health Serv Res, 2012, 12:364.
［4］XU Y, LIU Y L, SHU T, et al. Variations in the quality of care at large public hospitals in Beijing, China: A conditionbased outcome approach［J］. PLoS One, 2015, 10(10):e0138948.
［5］中国医院协会．三级综合医院评审标准实施细则(2011年版)［M］．北京：人民卫生出版社，2012：214-216．
［6］张荣强，李凤英．年估计百分比变化与平均增长速度在公共卫生领域中的应用比较［J］．中国卫生统计，2015，32(2)：328-329．
［7］曹新西，徐晨婕，侯亚冰，等．1990—2025年我国高发慢性病的流行趋势及预测［J］．中国慢性病预防与控制，2020，28(1)：14-19．
［8］蔡玥，武瑞仙，兰蓝，等．2011—2015年我国居民住院疾病谱及资源消耗情况［J］．中国卫生统计，2017，34(2)：298300，303．
［9］雍婧雯，王志坚，林徐泽，等．急性心肌梗死患者患病构成比及住院死亡率变化趋势［J］．中华心血管病杂志，2019，47(3)：209-214．
［10］程兆辉，贺知菲，陶红兵，等．山西省急性心肌梗塞患者院内死亡影响因素的多水平模型分析［J］．医学与社会，2018，31(9)：42-44．
