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| Analysis on the trend of hospitalization and death of key monitoring diseases in a tertiary hospital from 2015 to 2019 |
| Zhang Guanrong. |
Information and Statistics Center, Guangdong Provincial People′s Hospital (Guangdong Academy of Medical Sciences), Guangzhou 510080, China
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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.
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Received: 14 September 2020
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